半脱套松解法治疗隐匿阴茎疗效探讨

Half-gloving cordectomy:A modified procedure for concealed penis

目的:探讨一种改良简化隐匿阴茎术式,既有较好手术效果,又减少减轻各种术后并发症。方法:58例隐匿阴茎患者,平均年龄6.8(3～15)岁。术式包括矫正狭窄包皮口使阴茎头完全显露、半脱套法翻转包皮并矫形、沿白膜表面切除发育不良条索带达阴茎悬韧带前端、使阴茎体释放但不作白膜固定。结果:所有患者均一次性手术成功,手术时间平均33(15～45)min,术后阴茎体外长度从术前平均1.4(0.5～2.8)cm增至3.9(3.2～8.5)cm。所有患者术后随访1～3年,包括阴茎外观、长度和自我感觉等,均效果满意。该术式简便、并发症少且术后恢复快。手术不影响阴茎根部深处神经血管和阴茎悬韧带等,不损伤阴茎本身结构及功能。结论:该术式简单有效,术后效果较好,尤其适合过度担忧手术并发症、将来性功能和生育问题的部分患者。

Objective： To search for a simple surgical procedure for the treatment of concealed penis that may have better effect and less complications. Methods ： We used a modified surgical method in the treatment of 58 patients with concealed penis aged from 3 to 15 （mean 6.8） years. The operation was simplified and involved the following steps： wholly unveiling the penis glans, half-degloving the foreskins, cutting off all the adhesive fibers up to the penile suspensory ligaments, and liberating the external penis. Results： The operation was successful in all the patients, with the operative time of 15 -45 （mean 33 ） minutes, hospital stay of 2 - 5 （ mean 3.5 ） days, but no complications except mild foreskin edema in 5 cases. The external penis was prolonged from 0. 5 - 2.8 （ mean 1.4） em preoperatively to 3.2 - 8.5 （ mean 3.9 ） cm postoperatively. The patients were followed up for 1 - 3 years, all satis-fied with the length and appearance of the penis, and their sexual and reproductive functions were normal. Conclusion ： The modified surgical procedure for concealed penis is simple and effective, with desirable outcomes, few postoperative complications and no damage to sexual and reproductive functions.