包皮后移法阴茎增粗术的临床观察

Clinical utility of penile augmentation with prepuce retrocession

目的 探讨包皮后移法阴茎增粗术治疗包皮过长同时增粗阴茎的临床应用价值.方法 2008年5月至2010年5月,应用此方法治疗包皮过长者80例,其中伴阴茎细小者27例,年龄18～51岁,平均30.2岁.于包皮背侧正中距冠状沟0.5 cm,腹侧正中距包皮系带0.8 cm包皮内板上设计切口线,局麻后向阴茎海绵体内注射生理盐水使阴茎勃起,于阴茎浅深筋膜间微创分离,使阴茎皮肤脱套至阴茎中后部,在包皮切口近端回缩到切口远端无张力对合的情况下,将阴茎皮肤、浅筋膜与深筋膜三等分定位缝合固定.随访观察其效果.结果 手术过程顺利,切口愈合好,术后无感染、包皮坏死、血肿等并发症.随访3～12个月,平均6个月,阴茎外形美观,功能良好,无严重水肿、感染及阴茎勃起疼痛等并发症,阴茎头显露于外,阴茎周径静息状态与勃起状态均较术前增加.结论 包皮后移法阴茎增粗术在矫正包皮过长的同时,能够充分利用自体组织,使阴茎增粗,安全有效,符合生理需求,是治疗成人包皮过长同时增粗阴茎的一种较好术式.

Objective To explore the clinical utility of penile augmentation with prepuce retrocession for redundant prepuce.Methods From May 2008 to May 2010, 80 patients of redundant prepuce were surgically corrected by the following steps： injecting physiological saline to make penile erect,sliveing penile inner board, maintaining subcutaneous tissue, fascia, blood vessel, lymphatic ducts and nerve between inner and outer board, pushing and flattening fat and clumsy tissue and keying approximation so as to augment penile diameter.Results Excellent penile functions were achieved.After a 6-month followup, the operative outcome was satisfactory without any complication.The operation with modified circumcision with penile augmentation had the following advantages of a lesser blood loss, mild postoperative edema, no secondary hemorrhage or infection, a quick recovery and a good appearance of penis.Conclusion Treatment of redundant prepuce by penile augmentation with prepuce retrocession is an effective method.