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Eight-year follow-up on postoperative improvement protocol in extensive metoidioplasty transgenders:A case series

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Chinese Journal of Plastic and Reconstructive Surgery 2023年第3期5卷 115-119页

作者： Shahryar Cohanzad Pars Advanced and Minimally Invasive Medical Manners Research Center Pars HospitalIran University of Medical SciencesRastak St.Shahid Abdollahzade Ave.Keshavarz Blvd.Tehran ***Iran

Background:This study aimed to evaluate the long-term penile size among patients who underwent extensive ***:An evaluation was conducted on 7 out of 14 patients(mean age:29.71±13.76 years)who participated in a 2015 study that introduced a postoperative protocol to improve penile size after extensive *** transsexual females(46XX karyotype)and two patients with 5-alpha reductase deficiency were retrospectively followed up in 2023 to assess the long-term efficacy of the protocol at a specialized clinic in a general hospital in Tehran,*** participants were informed about the study and consented to ***:Five patients achieved increased penile size from their 2015 measurements(mean,29.00±13.34 mm).Five patients requested a larger sized penile traction device to continue the ***:The long-term implementation of this protocol can result in increased penile *** advise highly motivated patients to continue practicing the protocol to achieve better results.

关键词： Gender identity disorder metoidioplasty Sex reassignment surgeries Transsexualism Penile extender Penile traction device

Management of urethral strictures after masculinizing genital surgery in transgender men

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Plastic and Aesthetic Research 2022年第1期9卷 361-370页

作者： Ariel Zisman Joseph A.Baiocco Rajveer S.Purohit Department of Urology Icahn School of Medicine at Mount Sinai HospitalNew YorkNY 10075USA

Transgender men undergoing phalloplasty and metoidioplasty have a high rate of urethral *** of stricture includes evaluation of symptoms and uroflow,cystoscopy,and retrograde *** anatomic differences between the phallus of cis-gender and transgender men increase the likelihood and complexity of treating urethral strictures in transgender men after *** strictures after masculinizing procedures are more likely to require open surgical treatment and recur after *** is a paucity of data,but less invasive options such as dilation and urethrotomy have had minimal *** surgical options with a variety of techniques,including one-stage and two-stage techniques,have higher success rates in treating strictures,but there is minimal comparative data on *** present a review on management options for urethral reconstruction in transgender men and our data on urethroplasty for these patients.

关键词： Phalloplasty urethroplasty urethral stricture disease gender-affirming surgery metoidioplasty

Weight stigma mitigating approaches to gender-affirming genital surgery

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Plastic and Aesthetic Research 2022年第1期9卷 295-307页

作者： Elijah Castle Gaines Blasdel Nabeel A.Shakir Lee C.Zhao Rachel Bluebond-Langner Department of Urology New York University Langone Medical CenterNew YorkNY 10017USA Vattikuti Urology Institute Henry Ford Health SystemDetroitMI 48202USA Hansjörg Wyss Department of Plastic Surgery New York University Langone Medical CenterNew YorkNY 10017USA

The use of body mass index(BMI)to determine eligibility for gender-affirming surgery in transgender and nonbinary individuals has been *** BMI thresholds are often meant to be protective,restricting patients from access to surgery can also cause *** is a rationale for the continued use of BMI,but the inherent problems with it must also be recognized,including how weight stigma impacts patients’access to gender-affirming surgery and influences clinical *** article uses a narrative review of current literature to discuss how high BMI affects surgical outcomes in gender-affirming genital surgeries,as well as analogous procedures,existing de facto BMI thresholds,and how to both minimize the harms of proceeding with surgery in patients with a high BMI or the harms of delaying for weight *** factors into surgical decision-making based on the existing literature,which demonstrates that high BMI is associated with increased surgical risk,including higher incidences of surgical site infections and poor wound healing,as well as the possibility of free flap complications,which are a component of certain genital *** patient population is at higher risk for eating disorders,and it is prudent to find alternatives to requiring patient self-monitored weight *** impacts of weight stigma should be considered when treating gender-affirming surgery patients,and further data and research are needed to augment shared decision-making and lead to practice change.

关键词： Gender-affirming surgery weight stigma phalloplasty vaginoplasty metoidioplasty body mass index

Robotics in genital gender-affirming surgery

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Plastic and Aesthetic Research 2023年第1期10卷 74-82页

作者： Brielle Weinstein Henry Govekar Edward Cherullo Kristin M.Jacobs Loren Schechter Department of Surgery Division of Plastic and Reconstructive SurgeryRush University Medical CenterChicagoIL 60612USA Department of Surgery Division of Colorectal SurgeryRush University Medical CenterChicagoIL 60612USA Department of Urology Rush University Medical CenterChicagoIL 60612USA Department of Surgery Division of Plastic and Reconstructive SurgeryDepartment of Obstetrics and GynecologyRush University Medical CenterChicagoIL 60612USA

Gender-affirming genital surgery includes a constellation of pelvic procedures that can help feminize or masculinize the *** advances in robotic surgery can aid surgical access to and visualization of the pelvis,thereby facilitating certain *** this scoping review,we will discuss the developing role of the robot in genital affirming genital ***,techniques,and outcomes using the robot in both feminizing and masculinizing genital procedures will be reviewed.

关键词： Robotic surgery gender affirming surgery vaginoplasty peritoneal vaginoplasty intestinal vaginoplasty metoidioplasty colpectomy vaginectomy phalloplasty