先天性阴茎下曲的矫治401例报告

Management of congenital penile curvature report of 401 cases

目的总结先天性阴茎下曲的矫治经验。方法先天性阴茎下曲患者401例，年龄1—26岁，平均2．5岁≥阴茎下曲伴尿道下裂者383例，不伴尿道下裂者18例；阴茎轻度弯曲295例，中度弯曲85例，重度弯曲21例。先切除阴茎腹侧纤维索，阴茎皮肤脱套，仍存在阴茎下曲者采用背侧白膜折叠术，有尿道下裂者再行尿道成形术。结果随访6个月至2年，396例手术一次成功，阴茎下曲纠正。结论先天性阴茎下曲首先松解阴茎腹侧尿道及周围纤维条索，阴茎脱套，大部分下曲可矫正，必要时采用背侧白膜折叠术。

Objective To summarize the success of congenital penile curvature. Methods 401 cases of con- genital penile curvature, whose average age is 2. 5 years, ranging from 1 year to 26 years old. Of all eases,383 patients who have both hypospadias and penile cun, ature, only 18 patients are congenital penile curvatures. 295 paitents are slight curvature ,85 patients are moderate curvature and 21 patients are severe curvature. Curvature correction was per- formed on a case-by-ease basis by solution fibric trabs of ventrial urethra and surrounding, skin de-gloving, if necessa- ry,dorsal plication,and confirmed by Gittes test. Results Curvature correction was possible by mobilization of ure- thra after penile degloving, only a few need dorsal plication. Followup for 6 months to 2 years,396 patients are success at once. The others after a second surgery had 100% success. Concl^lons Solution fibric trabs of ventrial urethra and surrounding, skin de-gloving, if necessary, dorsal plieatlon, is the first choice to repair of the congenital penile cur- vature and have good results.