阴茎型尿道上裂的解剖学修复

Anatomy correction of penile epispadias

目的探讨阴茎型尿道上裂的病理解剖特点和解剖学修复方法。方法以尿道上裂患者局部尿道板成形缺损段尿道，切断阴茎浅悬韧带松解阴茎背侧挛缩，使得阴茎及尿道海绵体复位，从而完成尿道修复。结果2004年6月至2010年12月，于临床应用26例，术后18例获得随访，时间为6个月至5年，10例手术一次成功，排尿通畅，控尿能力良好，阴茎背侧弯曲消失，尿道外口位于阴茎头端，效果良好；另8例有不同程度的尿失禁，二次手术进行尿道紧缩后消失。结论将阴茎型尿道上裂的病理解剖结构恢复其正常的解剖学关系，能够达到外形及功能的良好修复。

Objective To investigate the pathological characters and anatomic correction of penile epispadias. Methods The urethra was formed by local urethra plate mucosa flaps. The contracture on dorsum of penis was released by cutting off the superficial suspensory ligament to reposition the penile and urethral sponge. Results From Jun. 2004 to Dec. 2010, 26 cases with penile epispadias were treated. 18 cases were followed up for 6 months to 5 years. 10 cases were treated successfully with good cosmetic and functional results. Urinary incontinence happened in 8 cases, which healed after tightening operation. Conclusions The anatomic correction of penile epispadias can recover the normal anatomic structure, resulting good cosmetic and functional results.