Phalloplasty: Kev Tshawb Fawb Tus Poj Niam Xaj Nyuaj

Zoo Siab

• Yuav muaj dab tsi tshwm sim thaum phalloplasty?
• Phalloplasty cov tswv yim
• Radial forearm free-flap phalloplasty
• Sab hauv qab ncej puab pedicled nrov plig plawg phalloplasty
• Plab plab phalloplasty
• Musculocutaneous latissimus dorsi nrov plig plawg phalloplasty
• Kev phom sij thiab teeb meem
• Rov qab
• Tomqab kho mob
• Cov lus yuav nug koj tus kws phais mob
• Outlook

Txheej txheem cej luam

Phalloplasty yog kev tsim kho lossis rov txau tus qau. Tus kab mob phalloplasty yog ib qho kev xaiv phais rau cov neeg hloov pauv thiab cov tsis yog tus neeg xav paub txog kev phais tus tub los ntxhais. Nws kuj tseem siv los txhim kho tus qau thaum raug mob, mob qog nqaij hlav, lossis mob rau yug lub cev.

Lub hom phiaj ntawm phalloplasty yog tsim tsa kom zoo nkauj rau chaw mos uas muaj qhov loj txaus uas muaj peev xwm hnov ​​tau tus mob thiab tso zis tawm ntawm qhov chaw sawv. Nws yog cov txheej txheem nyuaj uas feem ntau muaj ntau tshaj li ib txoj kev phais mob.

Phalloplasty cov tswv yim txuas ntxiv hloov zuj zuj nrog cov teb ntawm phais yas thiab urology. Tam sim no, cov txheej txheem kub phalloplasty tau paub tias yog radial forearm free-flap (RFF) phalloplasty. Nyob hauv txoj kev ua no, cov kws phais tau siv ib qho npog ntsej muag ntawm daim tawv nqaij los ntawm koj sab caj npab los txhim kho cov ntawm tus qau.

Yuav muaj dab tsi tshwm sim thaum phalloplasty?

Thaum lub sijhawm mob phalloplasty, cov kws kho mob tshem tawm ib qho ntsej muag ntawm daim tawv nqaij ntawm thaj tsam pub ntawm koj lub cev. Tej zaum lawv yuav tshem cov nrov plig plawg no lossis tawm ib ntu rau. Cov ntaub so ntswg no yog siv los ua ob txoj hlab zis thiab lub cev, tus txiv neej, nyob rau hauv lub raj-sab hauv-ib-raj qauv. Lub raj loj yog qhov ib txwm yob ib puag ncig sab hauv lub raj. Daim tawv nqaij txuas rau tom qab ntawd tau coj los ntawm thaj chaw tsis meej ntawm lub cev, qhov chaw uas lawv yuav tawm mus tsis muaj qhov nti pom, thiab coj mus txuas rau qhov chaw pub dawb.

Tus poj niam zis ua luv dua tus txiv neej tso zis. Cov neeg phais tuaj yeem tso txoj hlab zis thiab muab txoj sia rau poj niam qhov zis ua kom tso zis tawm ntawm qhov taub ntawm tus qau. Qhov txhaws tau feem ntau yog tso rau hauv qhov chaw ze ntawm lub hauv paus ntawm tus qau, qhov twg nws tseem tuaj yeem tawm. Cov neeg uas tuaj yeem ua tiav orgasm ua ntej lawv phais yuav ua tau feem ntau tom qab lawv phais.

Ib phalloplasty, tshwj xeeb, yog thaum cov kws phais tig ib nrov plig plawg ntawm pub cov tawv nqaij ua phallus. Tab sis feem ntau, nws hais txog ib tug xov tooj ntawm cov txheej txheem cais uas feem ntau ua nyob rau hauv tandem. Cov txheej txheem no suav nrog:

• hysterectomy, thaum cov kws kho mob tshem tawm lub tsev menyuam
• ib qho oophorectomy tshem tawm cov zes qe menyuam
• lub paum ntawm qhov chaw mos los yog qhov chaw mos ua kom tshem tawm los sis ib nrab tshem tawm qhov chaw mos
• ib phalloplasty tig lub ntsej muag nrov ntawm cov neeg siab tawv nqaij ua phallus
• Kev phais qhov muag kom tig labia majora mus rau ib qho kev hnoos qeev, nrog nrog lossis tsis muaj qog phais
• qhov zis me me kom ntev thiab rub cov zis rau txoj hlab zis tshiab
• ib tug glansplasty mus duab lub ntsej muag ntawm ib tug tsis raug cai lub ntsis
• rab qau cog cog cia pub rau erection

Nws tsis muaj ib qho kev txiav txim lossis lub sijhawm rau cov txheej txheem no. Coob leej ntau tus ua tsis tiav. Qee tus neeg ua qee tus ua ke, thaum lwm tus kis tau lawv tawm hauv ntau xyoo. Cov txheej txheem no yuav tsum muaj cov neeg phais mob los ntawm peb qhov tshwj xeeb: kev kho mob poj niam, hlab ntshav, thiab phais yas.

Thaum nrhiav tus kws phais neeg, koj yuav xav nrhiav ib tus nrog pab pawg tsim. Ua ntej ib qho ntawm cov kev kho mob no, tham nrog koj tus kws kho mob txog kev tiv thaiv kev ua kom tsis taus thiab muaj kev cuam tshuam rau kev sib deev.

Phalloplasty cov tswv yim

Qhov sib txawv ntawm cov txheej txheem phalloplasty uas nquag muaj yog qhov chaw uas tus neeg pub tawv nqaij coj thiab txoj hauv kev uas nws raug tshem tawm thiab rov ua dua tshiab. Cov chaw pub khoom tuaj yeem suav nrog hauv qab plab, puab tais, npog tas ib ce, lossis ncej puab. Txawm li cas los xij, qhov chaw nyiam tshaj plaws ntawm cov neeg phais feem ntau yog forearm.

Radial forearm free-flap phalloplasty

Lub radial forearm free-nrov plig plawg (RFF lossis RFFF) phalloplasty yog qhov hloov tshiab tshaj plaws hauv kev rov tsim dua ntawm chaw mos. Hauv txoj kev ua nrov plig plawg dawb, cov ntaub so ntswg tau muab tshem tawm txhua yam los ntawm caj npab nrog nws cov hlab ntsha thiab cov hlab ntshav khov. Cov hlab ntsha thiab cov hlab ntsha no tau txuas rov nrog microsurgical precision, tso cai rau ntshav ntws ib txwm mus rau phallus tshiab.

Cov txheej txheem no yog nyiam rau lwm cov tswv yim vim tias nws muab zoo rhiab heev nrog rau cov txiaj ntsig zoo nkauj zoo nkauj. Kev tso zis tuaj yeem tsim kho lub raj-hauv-ib-raj, zam rau kev tso zis tso tawm. Muaj chav rau qhov tom qab cog ntawm erection pas nrig los yog tshuab nqus tsev.

Txoj kev pheej hmoo ntawm kev mus ncig mus rau qhov chaw pub dawb kuj tseem tsawg, txawm li cas los ntawm daim tawv nqaij txuas mus rau sab caj npab feem ntau tawm hauv nruab nrab mus rau qhov caws pliav loj. Cov txheej txheem no tsis zoo rau ib tus neeg txhawj xeeb txog qhov nti nti.

Sab hauv qab ncej puab pedicled nrov plig plawg phalloplasty

Lub plhaw anterior lateral thigh (ALT) pedicled nrov plig plawg phalloplasty tsis yog qhov kev xaiv tshaj plaws ntawm cov kws phais neeg feem ntau vim tias nws ua rau ntau npaum li cas qis dua lub cev kev xav nyob rau hauv tus qau tshiab. Hauv cov txheej txheem nrov plig plawg, cov ntaub so ntswg yog sib cais los ntawm cov hlab ntshav thiab cov leeg ntshav. Kev tso zis tuaj yeem tsim kho rau qhov tso zis sawv ntsug, thiab muaj chav txaus rau lub qog rab qau.

Cov neeg uas tau ua tus txheej txheem no feem ntau txaus siab, tab sis tshaj tawm cov lus qhia ntawm qib mob erotic rhiab. Muaj feem ntau siab ntawm cov txheej txheem no dua li nrog RFF. Daim tawv nqaij sib tsoo tuaj yeem tawm qhov tseem ceeb, tab sis hauv qhov chaw muaj kev txiav txim siab ntau dua.

Plab plab phalloplasty

Kev mob plab phalloplasty, tseem hu ua supra-pubic phalloplasty, yog qhov kev xaiv zoo rau tus txiv neej trans uas tsis tas yuav muaj qhov chaw mos los yog qhov mob tso zis. Kev tso zis yuav tsis mus los ntawm lub ncauj ntawm qhov chaw mos thiab tso zis txuas ntxiv mus txuas ntxiv mus rau qhov chaw zaum.

Ib yam li ALT, tus txheej txheem no tsis xav tau microsurgery, yog li nws tsis tshua kim. Tus tshiab phallus yuav muaj tactile, tab sis tsis hnov ​​erotic. Tab sis cov clitoris, uas tau muab khaws cia rau hauv nws qhov chaw qub lossis faus, tseem tuaj yeem kho tau, thiab ib rab qau cog tuaj yeem tso cai rau kev nkag mus.

Cov txheej txheem tawm ib txoj kab rov tav nthuav los ntawm lub duav mus rau lub ntsag. Qhov caws pliav no yog yooj yim zais ntawm cov khaub ncaws. Vim tias nws tsis hais txog lub qhov zis, nws cuam tshuam nrog kev cuam tshuam tsawg.

Musculocutaneous latissimus dorsi nrov plig plawg phalloplasty

A musculocutaneous latissimus dorsi (MLD) nrov plig plawg phalloplasty nqa cov leeg pub ntawm cov leeg rov tom qab sab caj npab. Tus txheej txheem no muab cov ncauj ntau ntawm cov leeg pub, uas tso cai rau cov kws phais neeg tuaj yeem ua tus noov loj dua. Nws yog qhov tsim nyog rau ob txoj kev rov qab kho lub qhov tso zis thiab ntxiv rau ib qho khoom siv erectile.

Qhov nrov plig plawg ntawm daim tawv nqaij suav nrog cov hlab ntsha thiab cov hlab ntaws ntawm lub cev, tab sis lub cev muaj zog ntawm lub cev tsis muaj erotically rhiab ntau dua cov leeg txuas nrog RFF. Tus neeg pub khoom siv tshuaj kho tau zoo thiab yuav luag tsis pom zoo li lwm cov txheej txheem.

Kev phom sij thiab teeb meem

Phalloplasty, zoo li txhua yam kev phais, los nrog qhov kev pheej hmoo ntawm kev kis tus mob, los ntshav, ua kom cov nqaij mos thiab mob mob. Tsis zoo li qee lwm cov kev phais, txawm li cas los xij, muaj qhov pheej hmoo ntawm cov teeb meem cuam tshuam nrog phalloplasty. Cov teeb meem feem ntau tshwm sim cuam tshuam nrog lub qhov zis.

Cov teeb meem phalloplasty uas ua tau muaj xws li:

• qhov zis loj npaum li cas
• urethral nruj (ib txoj hlab zis ntawm qhov zis uas tav kev tso zis)
• nrov plig plawg tsis ua hauj lwm thiab poob (qhov tuag ntawm cov hloov ntaub so ntswg)
• qhov txhab kiav txhab (ruptures raws cov kab phais)
• pelvic los ntshav los yog mob
• zais zis los yog qhov quav raug mob
• tsis muaj qhov hnov
• Lub caij nyoog xav tau kev tso dej tawm (paug thiab ntws dej ntawm qhov chaw lub qhov txhab xav tau kev hnav khaub ncaws)

Lub chaw pub dawb tseem muaj kev pheej hmoo rau cov teeb meem, cov no suav nrog:

• tsis zoo caws pliav lossis heev
• qhov nqaij to
• nqaij mos (liab, tawv nqaij ntawm chaw nqaij)
• tsawg dua muaj (tsawg)
• doog ntshav
• tsawg hnov
• kev mob

Rov qab

Koj yuav tsum muaj peev xwm rov qab mus ua haujlwm li plaub mus rau rau lub lis piam tom qab koj qhov phalloplasty, tshwj tsis yog koj txoj haujlwm yuav tsum muaj kev tawm dag zog. Tom qab ntawd koj yuav tsum tos rau mus rau yim lub lis piam. Zam kev tawm dag zog thiab nqa lub sijhawm thawj ob peb lub lis piam, txawm hais tias kev mus kev nrawm yog qhov zoo. Koj yuav muaj qhov coj tus qauv rau thawj ob peb lub lis piam. Tom qab ob mus rau peb lub lis piam koj tuaj yeem pib tso zis los ntawm phallus.

Koj cov kab mob phalloplasty yuav tawg ua ntu zus, lossis koj yuav muaj qhov vuam pov tseg, urethral kev tsim kho dua tshiab, thiab glansplasty ib txhij. Yog tias koj cais lawv, koj yuav tsum tos tsawg kawg 3 lub hlis ntawm qib ib thiab qib ob. Rau theem kawg, uas yog qhov qog rab qau, koj yuav tsum tos txog ib xyoos. Nws yog ib qho tseem ceeb tias koj muaj kev xav kom zoo nyob hauv koj tus noov tshiab ua ntej tau txais kev cog hniav.

Nyob ntawm seb qhov kev phais twg uas koj tau, koj yuav tsis muaj qhov kev hnov ​​mob erotic hauv koj lub phallus (tab sis koj tseem tuaj yeem muaj clitoral orgasms). Nws siv sijhawm ntev heev rau cov hlab ntaws ua kom zoo. Koj yuav muaj txoj kev hnov ​​mob tawv nqaij ua ntej hnov ​​qhov tseeb. Kho txhua yam tuaj yeem siv sijhawm ntev txog ob xyoos.

Tomqab kho mob

• Zam txhob muab siab rau ntawm cov phallus.
• Sim tsa cov phallus kom txo qis kev o thiab txhim kho ncig (txhawb nqa ntawm kev hnav khaub ncaws phais).
• Khaws cov kev phais zaum kom huv thiab qhuav, rov qab hnav khaub ncaws, thiab ntxuav nrog xab npum thiab dej raws li koj tus kws kho mob hais.
• Tsis txhob siv dej khov rau thaj chaw.
• Khaws thaj chaw ib ncig ntawm cov qhov dej huv kom huv nrog daim ntaub nqus dej.
• Tsis txhob da dej rau thawj ob lub lis piam, tshwj tsis yog koj tus kws kho mob qhia lwm yam.
• Tsis txhob rub ntawm lub catheter, vim tias qhov no tuaj yeem ua rau lub zais zis.
• Muab hnab zis tso yam tsawg peb zaug hauv ib hnub.
• Tsis txhob sim tso zis ntawm koj lub phallus ua ntej koj yuav tsum.
• Ua pob khaus, tawm pob, doog, ntshav hauv cov zis, xeev ntuav thiab cem quav yog qhov zoo nyob hauv thawj ob peb lub lis piam.

Cov lus yuav nug koj tus kws phais mob

• Dab tsi yog qhov koj xav tau phalloplasty txheej txheem?
• Muaj pes tsawg tus koj tau ua tiav?
• Koj puas tuaj yeem muab cov ntawv txheeb suav txog koj qhov kev ua tiav thiab qhov tshwm sim ntawm cov teeb meem?
• Koj puas yog muaj qhov chaw ntim ntawm cov duab postoperative?
• Kuv xav tau pes tsawg phais?
• Yuav nce nqe ntau npaum li cas yog tias kuv muaj teeb meem uas yuav tsum tau phais?
• Kuv yuav xav nyob hauv tsev khomob ntev npaum li cas?
• Yog Kuv Nyob Tawm Nroog. Yuav ntev npaum li cas tom qab kuv phais tas Kuv yuav tsum nyob hauv nroog?

Outlook

Thaum cov txheej txheem phalloplasty tau zoo dua qub xyoo, tseem tsis muaj kev pom zoo tshaj plaws. Ua ib qho kev tshawb fawb thiab tham nrog cov neeg hauv zej zog ua ntej txiav txim siab txog hom kev phais hauv qab twg zoo rau koj. Muaj lwm txoj hauv kev rau phalloplasty, suav nrog kev ntim khoom thiab cov txheej txheem pheej hmoo tsawg dua hu ua metoidioplasty.