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Postphalloplasty urinary function test:an observational study of novel outcome instrument to capture urinary dysfunction and quality of life after phalloplasty

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Asian Journal of Andrology 2022年第6期24卷 570-574页

作者： James L Liu Lauren Eisenbeis stephanie preston Arthur L Burnett Heather N DiCarlo Devin Coon The James Buchanan Brady Urological Institute and Department of Urology Johns Hopkins University School of MedicineBaltimoreMD 21287USA Department of Plastic and Reconstructive Surgery Johns Hopkins School of MedicineBaltimoreMD 21287USA Johns Hopkins Center for Transgender Health Johns Hopkins MedicineBaltimoreMD 21287USA Department of Surgery University of Texas SouthwesternDallasTX 75370USA

Due to growing social acceptance,there has been an increasing number of gender-affirmation surgeries performed in North *** research in this patient population focuses on surgical outcomes and advancing ***,little work has been done to study functional *** better evaluate urinary dysfunction in the postphalloplasty trans men patient population,our group developed a novel patient-reported outcome instrument-the postphalloplasty urinary function test(PP UFT)and protocol to measure postvoid urethral volume(PVUR),and we present our preliminary *** conducted a cross-sectional pilot study in a cohort of 15 adult trans men who had undergone phalloplasty with urethral lengthening surgery between 2018 and *** had stable urinary function via the neophallus at the time of *** filled out the PP UFT and were asked to record their PVUR as per our *** average PP UFT score was 8.9 out of 40 and the average quality-of-life(QOL)score was *** dribbling constituted the major complaint and on average comprised 63.2%of the reported PP UFT *** average PVUR was 2.2 ml(range:0.5-5.6 ml).There was a positive correlation between higher PP UFT and worse-reported quality of life(P<0.01;R?=0.4).Current questionnaires accepted in cis-male urology have limitations for accurately capturing urinary dysfunction in this specific patient *** combination of PP UFT and PVUR measurement offers potential for quantifying urinary function and quality of life in patients who undergo *** studies will validate these instruments.

关键词： gender affirmation gender surgery phalloplasty postvoid urethral residual urethral lengthening urinary dysfunction

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