尿道延长在女性假两性畸形矫治术中的应用

目的:探讨尿道延长在药物性女性假两性畸形矫治术中的应用价值。方法:对8例药物性女性假两性畸形患者行畸形矫治术,在进行传统的阴蒂成形术、大小阴唇成形术、阴道下段成形术的同时,利用局部黏膜缝合延长尿道。结果:8例患者尿道延长手术均获成功,尿道由原来的1.5~2.5cm延长至3.5~5.5cm,尿道外口位置恢复正常。结论:在女性假两性畸形矫治外阴、阴道的同时,利用局部自体组织施行尿道延长术,不仅使术后女性外阴的解剖和生理功能更趋正常,而且减少了婚后性生活不适及可能引起的反复尿路感染等并发症的发生。

Urethral canal lengthening in female pseudoherma phroditism diorthosis

Objective：To explore the effect of urethral canal lengthening in rectification of female pseudoherma phroditism. Methods： Eight cases of female pseudoheima phroditism received traditional clitorisplasty, pudendum plasty of the greater and lesser lips, or vagina inferior segment plasty in accordance to the abnormities. As the cases were featured by shorter urethral canal, local mucous membrane tissues were used for the repair and lengthening of the urethral canal. Results ： The operation was successful in all the 8 cases. The urethral canal was extended from the original length of 1.5 - 2.5 cm to 3.5 - 5.5 cm, and the external orifice of urethra was restored to normal position. Conclusions： On the basis of traditional procedures for female pseudoherma-phroditism diorthosis, urethral canal extension with autologous tissues can not only restore the anatomic and physiologic function of the cunnus, but reduce the patients＇ discomfort in sexual life as well as the probability of repeated urinary tract infection and other complications.