Phalloplasty: Ke kaha hōʻoiaʻiʻo kāne kāne

Anter

• He aha ka hana ma kahi phalloplasty?
• Nā ʻano hana Phalloplasty
• Radall forearm phalloplasty manuahi
• ʻO kaʻaoʻao mua o ka'ūhā wāwae pedicled flap phalloplasty
• ʻO phalloplasty ʻōpū
• ʻO Musculocutaneous latissimus dorsi flap phalloplasty
• Nā pilikia a me nā pilikia
• Hoʻoiho
• Mālama hope
• E nīnau i kāu nīnau
• Outlook

Hōʻike Overview

ʻO kahi phalloplasty kahi kūkulu a kūkulu hou paha o kahi peni. ʻO ka phalloplasty kahi koho ʻoki maʻamau no ka transgender a me ka poʻe nonbinary hoihoi i ka ʻoki hōʻoia kāne. Hoʻohana ʻia ia e kūkulu hou i ka penis ma nā hihia o ka hōʻeha, ka maʻi ʻaʻai, a i ʻole nā ​​kīnā hānau.

ʻO ka pahuhopu o kahi phalloplasty ke kūkulu ʻana i kahi peni hoʻokalakupua nani o ka nui kūpono e hiki ai ke manaʻo i nā sensations a hoʻokuʻu i ka mimi mai kahi kū. He papa hana paʻakikī ia e hoʻopili pinepine i nā ʻoi o hoʻokahi.

Hoʻomau ka ulu ʻana o nā hana Phalloplasty me nā māla o ke kaha ʻōpala a me ka urology. I kēia manawa, ʻike ʻia ke kaʻina hana phalloplasty maʻamau gula ma ke ʻano he radall forearm free-flap (RFF) phalloplasty. I kēia kaʻina hana, hoʻohana nā kaukōkō i kahi pale o ka ʻili mai kou forearm e kūkulu i ka lāʻau o ka peni.

He aha ka hana ma kahi phalloplasty?

I ka manawa o kahi phalloplasty, wehe nā kauka i kahi pale o ka ʻili mai kahi wahi hāʻawi o kou kino. Hiki iā lākou ke hemo i kēia pale āpau a waiho paha i kahi ʻāpana pili. Hoʻohana ʻia kēia kiko e hana i ka urethra a me ka lāʻau o ka peni, i kahi o ka Tube-loko-a-Tube. ʻO ka ʻōwili nui e ʻōwili ʻia a puni ka ʻōpala o loko. Lawe ʻia nā ʻili ʻili mai nā wahi inconspicuous o ke kino, kahi a lākou e waiho ʻole ai i nā ʻino e ʻike ʻia, a hoʻopili ʻia i ka pūnaewele manawaleʻa.

ʻOi aku ka pōkole o ka urethra wahine ma mua o ka urethra kāne. Hiki i nā kauka ke hoʻolōʻihi i ka urethra a hoʻopili iā ia i ka urethra wahine no laila e kahe ana ka mimi mai ka piko o ka peni. ʻO ka clitoris waiho ʻia ma kahi kokoke i ke kumu o ka peni, kahi e hiki ai ke hoʻoulu ʻia. ʻO ka poʻe hiki ke hoʻokō i ka orgasm ma mua o kā lākou ʻoki ʻana hiki ke hana maʻamau ma hope o kā lākou ʻoki ʻana.

ʻO kahi phalloplasty, kikoʻī, ke hoʻololi nā kaukōkō i kahi pale o ka ʻili donor i phallus. Akā ma ka maʻamau, kuhikuhi ia i kekahi mau kaʻina kaʻawale e hana pinepine ʻia i ka tandem. ʻO kēia mau kaʻina hana:

• kahi hysterectomy, i ka manawa e wehe ai nā kauka i ka uterus
• kahi oophorectomy e hoʻoneʻe i nā ovaries
• kahi wīwī a i ʻole hoʻopau liʻiliʻi mucosal e hemo a hemo hapa paha i ka ʻōpū
• he phalloplasty e hoʻohuli i kahi pale o ka ʻili hāʻawi i phallus
• kahi scrotectomy e hoʻolilo i ka labia majora i scrotum, me ka ʻole me ka ʻole o nā implants testicular
• kahi urethroplasty e hoʻolōʻihi a hoʻopaʻa i ka urethra i loko o ka phallus hou
• kahi glansplasty e kālai i ka hiʻohiʻona o kahi kihi ʻoki poepoe ʻole ʻia
• he penile implant e ʻae ai i ke kūkulu ʻana

ʻAʻohe o ke kaʻina hoʻokahi a me ka manawa manawa no kēia mau kaʻina hana. ʻAʻole hana ka poʻe he nui i lākou āpau. Hana pū kekahi poʻe i kekahi o lākou, ʻoiai hoʻolaha kekahi i nā makahiki he nui. Pono kēia mau kaʻina hana i nā kaukipō mai nā mea ʻokoʻa ʻekolu: gynecology, urology, a me nā ʻoki ea.

Ke ʻimi nei i kahi kauka, makemake paha ʻoe e nānā i hoʻokahi me kahi kime i hoʻokumu ʻia. Ma mua o kekahi o kēia hana olakino, e kamaʻilio me kāu kauka e pili ana i ka mālama ʻana i ka momona a me ka hopena o ka moekolohe.

Nā ʻano hana Phalloplasty

ʻO ka ʻokoʻa ma waena o nā ʻenehana phalloplasty e kū nei ka wahi kahi i lawe ʻia ai ka ʻili hāʻawi a me ke ala e hemo ai a hoʻopili hou ʻia ai. Hiki i nā pūnaewele donor ke hoʻopili i ka ʻōpū o lalo, ka ʻūlū, ke kino, a me ka ʻūhā. Eia naʻe, ʻo ka pūnaewele i makemake ʻia o ka hapa nui o nā kaukukō ka forearm.

Radall forearm phalloplasty manuahi

ʻO ka radall forearm free-flap (RFF a i ʻole RFFF) phalloplasty ka mea hou loa i ke kūkulu hou ʻana o ka genital. I ke kaʻina hana manuahi, hemo loa kaʻiʻo mai ka forearm me nā kīʻaha koko a me nā aʻalolo paʻa. Hoʻopili hou ʻia kēia mau kīʻaha koko a me nā aʻalolo me ka microsurgical Precision, e ʻae ana i ke kahe o ke koko i ka phallus hou.

ʻOi aku ka makemake o kēia kaʻina hana i nā ʻenehana ʻē aʻe no ka mea hāʻawi ia i ka noʻonoʻo maikaʻi me nā hopena maikaʻi maikaʻi. Hiki ke kūkulu ʻia ka urethra i kahi paipu-i loko-a-Tube, e ʻae ana no ka urination kū. Aia kahi no ka implantation o kahi koʻokoʻo kūkulu a i ʻole ka pauma inflatable.

ʻO ka manawa kūpono o ka neʻe ʻana i ka pūnaewele hāʻawi mea haʻahaʻa pū kekahi, akā naʻe nā ʻōpala o ka ʻili i ka forearm e waiho pinepine i ka scarring koʻikoʻi. ʻAʻole kūpono kēia kaʻina hana no kekahi e hopohopo e pili ana i nā scars ʻike ʻia.

ʻO kaʻaoʻao mua o ka'ūhā wāwae pedicled flap phalloplasty

ʻO ka ʻūhā mua mua (ALT) pedicled flap phalloplasty ʻaʻole ke koho alakaʻi o ka hapa nui o nā kaukipē no ka hopena i kahi pae haʻahaʻa o ka ʻike kino i ka peni hou. I ke kaʻina hana hehi pedicled, hoʻokaʻawale ʻia ke kiko mai nā kīʻaha koko a me nā aʻalolo. Hiki ke hoʻoponopono hou ʻia ka urethra no ka urination kū, a nui ka lumi no ka implant penile.

ʻO ka poʻe i hana i kēia kaʻina hana e māʻona maʻamau, akā hōʻike i nā haʻahaʻa haʻahaʻa o ka erotic sense. Aia kahi helu kiʻekiʻe o kēia kaʻina hana ma mua o ka RFF. Hiki i nā ʻili hoʻopili ke waiho i ka makaʻu nui, akā i kahi wahi kaʻawale.

ʻO phalloplasty ʻōpū

ʻO ka phalloplasty o ka ʻōpū, i kapa ʻia hoʻi ʻo ka supra-pubic phalloplasty, kahi koho maikaʻi no nā kāne trans i koi ʻole i kahi vaginectomy a i ʻole urethra i kūkulu hou ʻia. ʻAʻole e hele ka urethra ma ka piko o ka peni a hoʻomau ka koi ʻana i ka urination i kahi noho.

E like me ka ALT, ʻaʻole koi kēia hana i ka microsurgery, no laila ua emi ka liʻiliʻi. E loaʻa ka tactile i ka phallus hou, akā ʻaʻole ka manaʻo erotic. Akā ʻo ka clitoris, mālama ʻia i kona wahi maoli a kanu ʻia paha, hiki ke hoʻoulu ʻia, a hiki i kahi implant penile ke ʻae i ke komo.

Haʻalele ke kaʻina hana i kahi kahamaha ākea e hohola ana mai hip a hip. Hūnā maʻalahi ʻia kēia ʻino e nā lole. Ma muli o ka pili ʻole o ka urethra, pili ia me nā pilikia liʻiliʻi.

ʻO Musculocutaneous latissimus dorsi flap phalloplasty

Lawe kahi musculocutaneous latissimus dorsi (MLD) flap phalloplasty i nā mea kōkua mai nā mākala hope ma lalo o ka lima. Hāʻawi kēia kaʻina hana i kahi paʻa nui o nā mea hāʻawi, e ʻae ai i nā kaukipō e hana i kahi peni nui. Kūpono maikaʻi ia no ka hoʻoponopono hou ʻana o ka urethra a me ka hoʻohui o kahi mea kūkulu erectile.

Hoʻopili ka pale o ka ʻili i nā kīʻaha koko a me nā aʻa nerve, akā ʻo ke aʻalolo motika hoʻokahi ka liʻiliʻi o ka erotically ma mua o nā ʻalolo e pili ana me RFF. Hoola maikaʻi ka pūnaewele hāʻawi a ʻaʻole kokoke ʻike ʻia e like me nā kaʻina hana ʻē aʻe.

Nā pilikia a me nā pilikia

ʻO Phalloplasty, e like me nā ʻoki ʻana a pau, hele mai me ka makaʻu o ka maʻi, ke kahe ʻana o ke koko, ka hōʻino ʻana o nā ʻaʻa, a me ka ʻeha. ʻAʻole like me nā ʻoki lāʻau ʻē aʻe, akā naʻe, aia kahi kiʻekiʻe kiʻekiʻe o nā pilikia e pili ana i ka phalloplasty. ʻO nā pilikia e hōʻike pinepine ʻia e pili ana i ka urethra.

ʻO nā pilikia phalloplasty hiki ke loaʻa:

• urethral fistulas
• ka ikaika urethral (kahi liʻiliʻi o ka urethra e ālai i ke kahe urinary)
• pale ole a me ka lilo (ka make o kaʻaʻaʻa hoʻololi)
• hōʻeha kaʻeha (haki ma nā laina lūlū)
• pelvic kahe a i ʻole ʻeha
• ʻeha a i ʻole ʻeha rectal
• nele i ka manaʻo
• hoʻolōʻihi pono no ka hoʻokahe ʻana (hoʻokuʻu a me ka wai i kahi ʻeha e koi ana i nā lole)

Kūpono pū ka pūnaewele donation no nā pilikia, ʻo kēia mau mea pū kekahi:

• scarring unsightly a i ʻole ka hoʻoliʻiliʻi
• haki ʻeha
• ka granulation (ʻulaʻula, ʻili puʻupuʻu ma kahi pae ʻeha)
• hoʻemi i ka neʻe (rare)
• ʻāpala
• hoʻoliʻiliʻi sensation
• ʻeha

Hoʻoiho

Hiki iā ʻoe ke hoʻi i ka hana ma kahi o ʻehā a ʻeono pule ma hope o kāu phalloplasty, inā ʻaʻole koi kāu ʻoihana i kahi hana koʻikoʻi. A laila ʻoe e kali ai i ʻeono a ʻewalu pule. Hōʻalo i ka hoʻoikaika kino a me ka hāpai ʻana i loko o nā pule mua, ʻoiai ke maikaʻi ke hele wikiwiki. E loaʻa iā ʻoe kahi catheter ma kahi no nā pule mua. Ma hope o ʻelua a ʻekolu mau pule hiki iā ʻoe ke hoʻomaka e mimi ma o ka phallus.

E haki paha kāu phalloplasty i mau pae, a i ʻole iā ʻoe ka scrotoplasty, ke kūkulu hou ʻana o ka urethral, ​​a me ka glansplasty i ka manawa like. Inā hoʻokaʻawale ʻoe iā lākou, pono ʻoe e kali ma kahi o ʻekolu mau mahina ma waena o ka pae mua a me ka lua. No ka pae hope loa, ʻo ia ka penile implant, pono ʻoe e kali no hoʻokahi makahiki. He mea nui i kou manaʻo piha i kāu peni hou ma mua o ka loaʻa ʻana o kāu implant.

Kaukaʻi ʻia i ke ʻano o ke ʻoki āu i loaʻa ai, ʻaʻole loa ʻoe e loaʻa i ka erotic sensation i loko o kāu phallus (akā hiki iā ʻoe ke loaʻa i nā orgasms clitoral). Lōʻihi ka manawa no ka hoʻōla o ke aʻa nerve. Loaʻa paha iā ʻoe kahi naʻau tactile ma mua o ka naʻau erotic. Lawe ʻia ka hoʻōla piha i ʻelua mau makahiki.

Mālama hope

• Hōʻalo i ke kau ʻana i ka phallus.
• E hoʻāʻo e hoʻokiʻekiʻe i ka phallus e hoʻoliʻiliʻi i ka pehu ʻana a hoʻomaikaʻi i ke kaapuni (prop it on a surgical dressing).
• E hoʻomaʻemaʻe a maloʻo i nā ʻokiʻoki, hoʻopili hou i nā lole, a holoi me ke kopa a me ka wai e like me ke kuhikuhi a kāu kauka.
• Mai hoʻopili i ka hau i kēlā wahi.
• E mālama i ka wahi a puni i nā kahawai me ka hoʻomaʻemaʻe ʻōpala.
• Mai ʻauʻau no nā pule ʻelua i hala, ke ʻōlelo ʻole kāu kauka iā ʻoe.
• Mai huki i ka catheter, no ka mea hiki ke hōʻino kēia i ka maʻi ʻaʻa.
• Empty i ka ʻeke mimi ma ka liʻiliʻi ʻekolu mau manawa i kēlā me kēia lā.
• Mai hoʻāʻo e mimi mai kāu phallus ma mua o ka mea i manaʻo ʻia.
• ʻO ka nīnū, ka pehu ʻana, ka ʻeha ʻana, ke koko i ka mimi, ka palaho, a me ka paʻa paʻa he mea maʻamau ia i nā pule mua.

E nīnau i kāu nīnau

• He aha kāu ʻenehana phalloplasty makemake ʻia?
• Ehia au hana?
• Hiki iā ʻoe ke hāʻawi i nā helu helu e pili ana i kāu helu kūleʻa a me ka hanana ʻana o nā pilikia.
• Loaʻa iā ʻoe kahi kōpaki o nā kiʻi postoperative?
• Ehia mau hanana e pono ai iaʻu?
• Ehia mau kumukūʻai e hoʻonui ai inā loaʻa iaʻu nā pilikia e koi ai i ke ʻoki ʻana.
• Pehea ka lōʻihi e pono ai wau e noho i ka haukapila?
• Inā wau mai waho o ke kaona. Pehea ka lōʻihi ma hope o kaʻu ʻoki ʻana e noho ai au i ke kūlanakauhale?

Outlook

ʻOiai ʻoi aku ka maikaʻi o nā hana phalloplasty i loko o nā makahiki, ʻaʻohe hana kūpono. E hana i kahi tone o ka noiʻi a kamaʻilio pū me ka poʻe i ke kaiāulu ma mua o ka hoʻoholo ʻana e pili ana i ke ʻano o ke ʻoki lalo pono kūpono iā ʻoe. Aia kekahi ʻano ʻē aʻe i ka phalloplasty, me ka hoʻopili ʻana a me kahi kaʻina hana ʻoi aku ka makaʻu ʻole i kapa ʻia he metoidioplasty.