阴茎脱套矫治术治疗隐匿阴茎的临床观察

Clinical Observation of Foreskin-deglove for correction of concealed penis

目的:探讨矫治隐匿阴茎简单有效并减少并发症的方法。方法:对隐匿阴茎患者33例(年龄为3～23岁),采用阴茎脱套,切除变性的肉膜组织,30例(占90%)行阴茎根部皮肤与海绵体白膜的固定。将原来脱套的阴茎皮肤矫型复位,术后加压包扎。结果:1例因肥胖儿未行固定引起术后阴茎回缩,再次手术治愈;其余所有病例疗效均满意。3例患儿术后发生较重的包皮水肿,3～4月内均恢复正常。结论:阴茎脱套矫治术对隐匿阴茎疗效满意,且操作简单、安全,并发症少。也适用于包皮不充足的隐匿阴茎。

Objective：To explore a simple and effective method in treatment of concealed penis while decreasing the complications.Methods：33 consecutive patients（range 3 to23 years） with concealed penis were treated using foreskin-deglove,the thicken aponeurosis on the penile dorsi was separated and dissected.Fixing the skin of penis root at this level to bilateral tunica albuginea were done to the vast majority of the patients.Reposition of degloved prepuce was operated.Penis bandaged after surgery.ResuIts：After operation penis shaft retraction occurred in one patients（3%） those whose shaft-fix procedure was not performed and those who were obese,and were corrected by later refixation.All patients were satisfied with the appearance of the penis after plastic surgery.Prepuce edema obvious occurred in 3 cases and recovered after 3～4 months.Conclusion： Our method is easy to design and perform to correct concealed penis with satisfactory effect and less complications.It provides a good cosmetic appearance and seems to be applicable in all concealaled penis with de？cient penile shaft skin.