女變男手術說明   

涂懿美 譯

下面是Toby R. Meltzer醫生所提供有關女變男變性手術的相關資訊。Dr. Meltzer是性別認同失調研究小組的一份子，這個小組包括一位泌尿科醫師、一位婦科醫師、和一位整型醫師，在一切的操作上都遵循「Harry Benjamin國際性別認同失調協會」的指導方針和原則。（Harry Benjamin，1885-1986，內分泌醫師，性研究者，是變性慾方面最早也最著名的研究者之一）。在任何手術過程之前，患者必須先符合Benjamin協會所訂定的準則，而且獲得一位曾經和病患建立長期關係的治療師（心理治療師、心理學家或精神分析社工人員）的推薦信。?

The following is information regarding surgery for female to male sex reassignment surgery from the office of Dr. Toby R. Meltzer.

Dr. Meltzer is part of a gender dysphoria team that consist of a urologist, a gynecologist and a plastic surgeon. Our team adheres to the same guidelines and principles of the Harry Benjamin International Gender Dysphoria Association. Prior to any surgical procedure, the prospective patients must fulfill the criteria established by the Benjamin Society and have letters of referral from a therapist (psychiatrist, psychologist or psychiatric social worker) who has had a long-term relationship with the patient.

移除子宮和卵巢（子宮切除術和卵巢切除術）並非絕對必須在女變男其他整型手術之前執行，但是有許多人也選擇先做。子宮和卵巢的移除可以用內視鏡輔助或直接由陰道進入完成，也可以同時切除陰道或是另外再做獨立的手術切除。一般來說，只有在需要延長尿道以便直立小便的情況下，才需要做陰道切除手術。

Though not a prerequisite to other procedures, removal of the uterus and ovaries (hysterectomy and oopherectomy) are frequently performed. This can be done vaginally with laparoscopic assistance, or vaginally. The vagina can also be completely removed at the same time or as a separate procedure. A vaginectomy is only required if the urethra is to be lengthened to allow one to stand and urinate.

女變男性別調整手術有好幾個不同的做法：

最常見的手術是陰核釋出術

另一個做法是肉莖蓋皮術

第三個選擇是前臂培養陰莖蓋皮術

There are several options of genital surgery for female to male gender confirmation.

The most common operation that I perform is a clitoral release or metadoioplasty.

Another option is a pedicled flap. (http://www.tmeltzer.com/Pedicle.htm  連結暫時不通)

      A third option is the radial forearm flap.

相關資料：女變男胸部整型手術

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