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ID 55437
JaLCDOI
フルテキストURL
Thumnail 71_5_399.pdf 5.13 MB
著者
Mukai, Yuko Department of Plastic and Reconstructive Surgery, Okayama University Hospital
Watanabe, Toshiyuki Department of Plastic and Reconstructive Surgery, Okayama University Hospital
Sugimoto, Morito Department of Urology, Okayama University Hospital
Kimata, Yoshihiro Department of Plastic and Reconstructive Surgery, Okayama University Hospital Kaken ID publons researchmap
Namba, Yuzaburo Department of Gender Center, Okayama University Hospital
抄録
Many vaginoplasty techniques have been introduced to improve the outcomes of sex reassignment surgery for male-to-female transsexuals. Some vaginoplasty patients still require additional skin grafts, making dilation mandatory to overcome shrinkage. We developed a new vaginoplasty method (called the “pudendal-groin flap”) that uses pudendal-groin flaps. One of this procedure’s advantages is that skin grafts are unnecessary, even for patients with small penises and scrotums. We introduce the procedure here and describe our evaluation of its utility. We retrospectively analyzed the cases of the 15 patients who underwent vaginoplasty using pudendal-groin flaps from May 2010 to January 2016 at our institution. We compared the complications as well as the functional and aesthetic outcomes with those of previous studies. The most common complication was bleeding, which occurred at the corpus spongiosum or while creating a new vaginal cavity. Bleeding can be reduced with more careful hemostasis and dissection. Aside from inadequate vaginal depth in one patient, the incidence of other complications, sexual intercourse, and aesthetic outcomes were acceptable. The pudendal- groin flap is thin and pliable and can create sufficient vaginal depth without skin grafts. The resulting scar is inconspicuous. Our findings suggest that vaginoplasty using the pudendal-groin flap method is feasible.
キーワード
vaginoplasty
male-to-female transsexuals
pudendal-groin flap
Amo Type
Original Article
発行日
2017-10
出版物タイトル
Acta Medica Okayama
71巻
5号
出版者
Okayama University Medical School
開始ページ
399
終了ページ
405
ISSN
0386-300X
NCID
AA00508441
資料タイプ
学術雑誌論文
言語
English
著作権者
CopyrightⒸ 2017 by Okayama University Medical School
論文のバージョン
publisher
査読
有り
PubMed ID