耻骨上及会阴部入路手术治疗隐匿性阴茎

Treatment of concealed penis by operating through suprapubic and perineal approach

目的探索耻骨上及会阴部入路手术治疗隐匿性阴茎的矫形效果。方法耻骨上切口，切断阴茎浅、深悬韧带，将阴茎海绵体剥离至耻骨弓，使阴茎延长2—3cm。阴茎根部两侧小切口，将对应的阴茎与腹壁交界处的皮下筋膜缝合固定，防止阴茎回缩至阴囊内。结果2007年至2009年，应用此方法治疗隐匿性阴茎16例，均取得了成功。随访半年，静息状态阴茎长度增长，整形效果良好，无并发症，患者满意。结论耻骨上及会阴部联合入路手术治疗隐匿性阴茎疗效确切。

Objective To search a new option for the correction of concealed penis by operating through suprapubic and perineal approach. Methods The operation consisted of there incisions including a suprapuhic approach to transect suspensory ligament of penis in order to separate and prolong cavernous body of penis for 2-3 em and two perineal approaches to sew up the superficial fascia between penis and abdominal wall in order to prevent penis from recovering to scrotum. Results From 2007 to 2009 sixteen patients of concealed penis were surgically corrected by this method. The good function and certain result were achieved. After fol- lowed up half a year, the operative results were satisfactory with no complications. Conclusion Treatment of concealed penis by operating through suprapubic and perineal approach is an ideal and effective method for the correction of concealed penis.