手術
紀錄

第二階段進行尿道重建與延長，利用橈側前臂游離皮瓣（RFFF）建立新尿道，並結合小陰唇及漏斗狀組織重建固定尿道段（pars fixa），利用其薄而柔軟、無毛且血流良好的特性，降低尿道狹窄及瘻管風險。採用管中管（tube-within-a-tube）方式，將新尿道包覆於血流穩定的前外側大腿皮瓣內，提供額外保護並降低尿道併發症。此階段同步完成陰囊成形、陰道閉合、尿道延長及陰莖組裝；腹側切口則沿自然中線排列，形成類似陰莖縫線（raphe）的外觀。

The second stage involves urethral reconstruction and lengthening using a radial forearm free flap (RFFF) to create the neourethra, combined with the labia minora and infundibular tissue to reconstruct the fixed urethral segment (pars fixa). These thin, pliable, hairless, and well-vascularized tissues help reduce the risks of urethral stricture and fistula formation. A tube-within-a-tube technique is used, with the neourethra enclosed and protected by the well-vascularized pedicled anterolateral thigh (ALT) flap, providing additional soft-tissue coverage and reducing urethral complications. Scrotoplasty, vaginal closure, urethral lengthening, and phallic assembly are performed concurrently in this stage. The ventral incision is strategically positioned along the midline to create an appearance resembling the natural penile raphe.

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2026.11.07

第一階段陰莖成形術採用帶蒂前外側大腿皮瓣（pedicled ALT）建立陰莖外層，提供血流穩定、厚實且耐久的軟組織包覆。由於不需進行顯微血管吻合，能縮短手術時間並降低早期皮瓣失敗風險，且此階段不涉及尿道及生殖器重建，可避免尿道瘻管、狹窄等泌尿併發症。皮瓣完成後可有充分時間癒合與成熟，再進行第二階段重建；若保留外側股皮神經，亦可為後續神經吻合及保護性感覺重建保留可能性。

The first stage uses a pedicled anterolateral thigh (ALT) flap to create the outer penile shaft, providing a thick, durable, and well-vascularized soft-tissue envelope. As microvascular anastomosis is not required, operative time is reduced and the risk of early flap loss is minimized. Since urethral and genital reconstruction are not involved at this stage, urinary complications such as fistula and stricture are avoided. The flap is also given sufficient time to heal and mature before the more complex second-stage reconstruction. Preservation of the lateral femoral cutaneous nerve may provide an opportunity for subsequent neurorrhaphy to restore protective sensation.

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2026.11.07

腸源性陰道成形術（Intestinal Vaginoplasty）是一種適用於跨性別女性（男變女，MtF）的性別肯認手術，利用一段自體腸道（通常為乙狀結腸）重建陰道。此手術具有腸道組織柔軟、延展性佳及可提供足夠陰道深度等優點，且腸黏膜具有自然分泌功能，有助於維持陰道腔內的濕潤度。特別適合陰道深度不足、曾接受陰道成形術失敗或需要再次重建的患者

Intestinal Vaginoplasty is a gender-affirming surgical procedure for transgender women (male-to-female, MtF) that uses a segment of the patient's own intestine, most commonly the sigmoid colon, to reconstruct the vagina. This technique offers several advantages, including soft, pliable tissue, excellent elasticity, and the ability to achieve adequate vaginal depth. In addition, the intestinal mucosa provides natural lubrication through mucus secretion, helping maintain moisture within the vaginal canal. It is particularly suitable for patients with insufficient vaginal depth following previous vaginoplasty, failed primary reconstruction, or those requiring revision or secondary vaginal reconstruction.

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2026.11.03

縮乳手術（Breast Reduction）著重於乳房外觀、術後穩定性及乳頭乳暈複合體功能的整體保留，主要技術特色包括： 圓形乳暈設計： 採用圓形乳暈塑形及適當的尺寸控制，維持乳暈外觀對稱，降低術後乳暈變形的可能性。 垂直切口設計： 以垂直線性疤痕為主要設計，降低外觀偏移的問題。 穩定的乳房下皺襞： 重建並維持乳房下皺襞的位置與結構，減少乳房下垂（Bottoming-out）的風險。 外側血管蒂保留技術： 採用外側血管蒂（Lateral Pedicle）保留乳頭乳暈複合體的血液供應及神經支配，期望最大程度維持乳頭的感覺功能及生理功能。

Breast reduction focuses on breast aesthetics, long-term structural stability, and preservation of nipple-areolar complex (NAC) function. Key surgical features include: Circular Areolar Design: Carefully reshape and control areolar size to maintain symmetry and minimize postoperative distortion. Vertical Incision Design: Use a primarily vertical scar pattern to minimize scar deviation and maintain a natural breast contour. Stable Inframammary Fold: Reconstruct and maintain the position and structure of the inframammary fold to reduce the risk of postoperative bottoming-out. Lateral Pedicle Technique: Preserve the blood supply and nerve innervation of the nipple-areolar complex, aiming to maximize the preservation of nipple sensation and physiological function.

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2026.10.31

肩膀柔化手術可讓肩頸線條更平順柔和，減少肩部外擴與突出的感覺，使整體比例更協調、氣質更顯優雅。

Shoulder contouring surgery creates smoother, softer shoulder–neck lines, reduces the appearance of broad or prominent shoulders, and enhances overall balance and elegance.

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2026.10.27

平胸手術乳頭乳暈神經再接，透過重新吻合神經，有望改善乳頭的感覺及勃起功能，讓手術不僅重塑男性胸型，也兼顧乳頭的感覺與功能恢復

Targeted nipple-areola reinnervation in chest masculinization surgery reconnects nerves to potentially improve nipple sensation and erectile function, enhancing not only masculine chest contour but also the restoration of nipple sensation and function.

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2026.10.22

我們最新的研究 “Melatonin Potentiates Estrogen Therapy to Prevent Bone Loss in an Orchiectomy Transfeminine Mouse Model”，進一步探討跨性別女性接受性別肯定荷爾蒙治療後的骨質流失機制，並評估褪黑激素合併雌激素治療對維持骨骼健康的潛在作用，期望為未來骨質疏鬆的預防與治療提供新的研究方向。 https://www.nature.com/articles/s41598-026-69993-3

2026.10.04