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下面附上一則新聞讓大家了解時事

美國麻州綜合醫院醫療團隊今(二O一六)年五月成功為一名六十四歲男性患者進行陰莖移植手術,引起醫界震撼。這名患者在二O一二年因陰莖癌切除大部分陰莖,陰莖長度只剩二點五公分,上小號只能坐馬桶,他本來已經絕望,沒想到還有機會重振雄風,雖然手術過程大量出血,所幸手術成功、恢復過程順利。

開業醫師丁立文表示,對於不少男性來說,陰莖長短、大小是重要自信來源,陰莖過於短小不只無法滿足伴侶需求,還可能造成自卑,男性想讓陰莖增長、增大,目前有自體脂肪陰莖增大術等許多治療選項可供選擇,不一定非得像上述一樣大費周章。

傳統人工真皮陰莖增大術可能衍生一些問題,部分臨床研究顯示,人工真皮常出現排斥問題,保存率只有四至五成。運用人工真皮幫助陰莖增大,需要將整塊片狀組織放入皮下,容易傷害皮下神經、血管,不但手術時間較長,術後也較疼痛,傷口達六到八公分,疤痕很難掩飾。

丁立文醫師分析,運用自體脂肪幫助陰莖增大較不會產生排斥問題,加上自體脂肪含豐富幹細胞,細胞存活率可提高到六至七成。自體脂肪可與周圍組織融合,較穩定,外觀、觸感都會比較自然,進行自體脂肪手術時,時間較短,注射針口約零點三公分,癒合較快,幾乎不留痕跡。

陰莖手術除了需要將陰莖增大,也要增長。坊間診所多要求患者進行一個月重力訓練,增加長度,但不少患者因疼痛而苦不堪言,丁立文醫師指出,陰莖是否增長,與病人有無重力訓練、沒有太大關係,醫師技巧才是關鍵。

患者接受自體脂肪注射後,大約三個月,細胞存活情況就會逐漸穩定,患者需要再做調整,可以追加手術、進行改善。不過醫師也提醒,手術之前必須檢查有無沾黏,或包皮是否過短、太狹窄等問題,若有這些情況,就算注射自體脂肪折價卷,陰莖變大效果也很有限。

當患者包皮過短,便要考慮讓包皮變長,丁立文醫師強調,這是一項高門檻技術,不是所有醫師都精通這種技術。有些人在幼年割包皮,導致包皮過短,或包皮口過於狹窄,使陰莖無法露出。當出現沾黏,醫師就得開刀清除沾黏組織。理論看似簡單,執行、處理上卻相當困難,細心、耐心、經驗與技術,缺一不可。

丁立文醫師建議,男性陰莖短小常影響性生活、自信,男性若有相關困擾,不需害羞CP值爆表,可積極尋求專業建議。另外,患者也應慎選醫師、醫療院所,手術前也要經過仔細評估,以減少脂肪壞死、感染等風險。





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