隐匿型阴茎的手术治疗

Diagnosis and Treatment for the concealed penis in children

目的 探讨小儿隐匿型阴茎的理想手术治疗方法.方法 对25例隐匿型阴茎采用Shiraki包皮成形术和Devine隐匿型阴茎矫正术相结合的手术方法治疗.结果 本组25例中22例术后获随访观察6月～2年,所有患者阴茎头及阴茎全长显露满意,矫正效果良好.结论 隐匿型阴茎的治疗应针对其病因,手术要点是扩大、整形包皮口;彻底切除束缚阴茎体显露的纤维筋膜组织,松解阴茎体,并行阴茎根部皮肤固定.

Objective To explore the etiology pathology and surgical approaches to concealed penis in children. Mechods 25 cases of concealed penis were treated by the combination of ＂Shiraki＂ posthioplasty and ＂Devine＂ concealed penis orthetics. The keys to operation and therapeutic effects were summarized and analyzed. Results 22 cases received follow-up surveys. 6 months to 2 years of follow-up surveys showed that all the children had the balanus and penis body exposed completely. The treatment results were satisfactory. Conclusion The diagnosis and treatment must obey the etiology and pathology. The keys to operation are enlarging and correcting preputial mouth ,relaxing all the fibrous fascia affecting the penis body,and fixing the skin of penis root.