改良阴茎脱套固定术治疗先天性隐匿阴茎疗效观察

Modified foreskin-deglove and shaft-fix procedure in treatment of congenital concealed penis

探讨改良包皮脱套阴茎根部固定术治疗隐匿阴茎的疗效。方法:对215例年龄5.0～15.3岁的先天性隐匿阴茎患儿行改良阴茎脱套固定术,术后阴茎加压包扎3天,保留导尿4天后拔除导尿管出院。结果:平均手术时间50min,所有病例术后平均住院4.5d,包皮水肿时间7～10d,随访6个月～3年,4例发生回缩,系根部固定不良所致,还有2例由于肥胖外观欠佳,但术后阴茎体发育好。其他所有病例外观佳,阴茎体发育好无勃起和排尿障碍,阴茎阴囊交界处无蹼状结构.总成功率97.67%)。结论:改良阴茎脱套固定术能充分暴露并切除阴茎体根部牵拉组织至阴茎体完全暴露并可靠固定,同时最大可能保持阴茎皮肤的完整性,所以在纠正隐匿阴茎病理的前提下有利于术后水肿及外观的恢复,是较好的治疗先天性隐匿阴茎的方法。

Objective：To explore the efficacy of modified foreskin-deglove and shaft-fix procedure in the treatment of congenital concealed penis. Methods： 215 patients （aged from 5.0 to 15.3 years old） diagnosed as congenital concealed penis were included in the study, and the modified foreskin-deglove and shaft-fix procedure were per- formed. After the penis has been dressing for 3 days,and the urethra catheterized for 4 days,the patients were dis- charged. Results.. Average operation time was 50 minutes,mean hospitalized day was 4.5 days,and the postopera- tive edema of prepuce only lasted for 7 to 10 days. With 6 months to 36 months follow-up,4 cases of penis shaft re- traction occurred,and 2 cases of dissatisfied appearance caused by obesity,other cases were all satisfied with the appearance of the penis after plastic surgery, without erection or voiding disorder. Conclusions.. The modified foreskin-deglove and shaft-fix procedure is an ideal choice for congenital concealed penis correction,which was easy to expose the penile shaft and to excise the fabric tissue,at the same time penile skirl was reserved. So this procedure can resolve basic pathologic problems of congenital concealed penis and has good clinical effect.