男變女性別重置手術

10.6666/ClinMed.201811_82(5).0124

沈秉輝

性別不安（gender dysphoria） ； 性別重置手術（sexual reassignment surgery） ； 跨性別（transgender） ； 變性慾（transsexualism） ； 陰道成形手術（vaginoplasty）

臨床醫學月刊

82卷5期（2018 / 11 / 30）

670 - 675

繁體中文

性別重置手術，也就是俗稱的變性手術，在某些性別不安的人有其必要性。作者回溯自2011年至2017年，共有77例變性慾患者，接受男變女性別重置手術。就手術的方式，術後的併發症，作者提出個人的經驗以及文獻回顧。

1. Bouman, MB,van Zeijl, MC,Buncamper, ME(2014).Intestinal vaginoplasty revisited: a review of surgical techniques, complications, and sexual function.J Sex Med,11,1835-1847.
2. Buncamper, ME,Sluis, WB,can der Pas, RS(2016).Surgical outcome after penile inversion vaginoplasty: a retrospective study of 475 transgender women.Plast Reconstr Surg,138,999-1007.
3. Dekker, JJ,Hage, JJ,Karim, RB(2007).Do histologic changes in the skin-lined neovagina of male-to-female transsexuals really occur?.Ann Plast Surg,59,546-549.
4. Dessy, LA,Mazzocchi, M,Corrias, F(2014).The use of cultured autologous oral epithelial cells for vaginoplasty in male-to-female transsexuals: a feasibility, safety, and advantageousness clinical pilot study.Plast Reconst Surg,133,158-161.
5. Fang, RH,Chen, CF,Ma, S(1992).A new method for clitoroplasty in male-to-female sex reaasignment surgery.Plast Reconstr Surg,89,679-682.
6. Hage, JJ,Karim, RB(1996).Sensate pedicled neoclitoroplasty for male transsexuals: Amsterdam experience in the first 60 patients.Ann Plast Surg,36,621-624.
7. Hage, JJ,Karim, RB(2000).Ought GIDNOS get nought? Treatment options for nontranssexual gender dysphoria.Plast Reconstr Surg,105,1222-1227.
8. Hage, JJ,Karim, RB,Laub, DR, Sr(2007).On the origin of pedicled skin inversion vagionoplasty-life and work of Dr Georges Burou of Casablanca.Annals of Plast Surg,59,723-729.
9. Lai, MC,Chiu, YN,Gadow, KD(2010).Correlates of Gender Dysphoria in Taiwanese University Students.Arch Sex Behav,39,1415-1428.
10. Lecle`re, FM,Casoli, V,Baudet, J(2015).Description of the Baudet Surgical Technique and Introduction of a Systematic Method for Training Surgeons to Perform Male-to-Female Sex Reassignment Surgery.Aesthetic Plast Surg,39,927-934.
11. Morrison, SD,Satterwhite, T,Grant, DW(2015).Long-term outcomes of rectosigmoid neocolporrhaphy in male-to-female gender reassignment surgery.Plast Reconstr Surg,136,386-394.
12. Mühsam R. Chirurgische Eingriffe bei Anomalien des Sexuallebens. Therapie Gegenwart 1926;67:451-5.
13. Mühsam R. Der Einfluß der Kastration auf Sexualneurotiker. Dtsch Med Wschr 1921;47:155-6.
14. Negenborn, VL,van der Sluis, WB,Meijerink, WJHJ(2017).Lethal Necrotizing Cellulitis Caused by ESBL-Producing E. Coli after Laparoscopic Intestinal Vagionoplasty.J Pediatr Adolesc Gynecol,30,e19-e21.
15. Papadopulos, NA,Lelle, JD,Zavlin, D(2017).Quality of Life and Patient Satisfaction Following Male-to-Female Sex Reassignment Surgery.J Sex Med,14,721-730.
16. Rossi Neto, R,Hintz, F,Krege, S(2012).Gender reassignment surgery - a 13 year review of surgical outcomes.Int Braz J Urol,38,97-107.
17. Selvaggi, G,Monstrey, S,Ceulemans, P(2007).Genital sensitivity after sex reassignment surgery in transsexual patients.Ann Plast Surg,58,427-433.
18. Shimamura, Y,Fujikawa, A,Kubota, K(2015).Perforation of the neovagina in a male-to-female transsexual: a case report.J Med Case Rep,9,24.
19. van der Sluis, WB,Bouman, MB,de Boer, NK(2016).Long-term follow-up of transgender women after secondary intestinal vaginoplasty.J Sex Med,13,702-710.
20. Zhao, YZ,Jiang, H,Liu, AT(2011).Laparoscope-assisted creation of a neovagina using pedicled ileum segment transfer.World J Surg,35,2315-2322.
21. 李鶯喬,蘇東平,趙湘台(2014)。科技部補助專題研究計畫科技部補助專題研究計畫,科技部。