Borselino术矫治隐匿性阴茎的临床疗效研究

Clinical Study of Borselino Procedure in the Treatment of Concealed Penis

目的探讨采用Borselino术矫治隐匿性阴茎的治疗效果。方法选取2011年5月—2012年1月我院收治的27例隐匿性阴茎患儿,临床表现为阴茎外观短小,阴茎体均完全隐匿于皮下,腹壁皮肤平面仅及包皮,包皮呈鸟嘴样包住阴茎,与阴茎体不附着,挤压阴茎根部阴茎体显露正常。27例患儿均采用Borselino术进行矫治。结果 27例患儿均获得满意的效果。疲软时阴茎显露明显,阴茎阴囊沟和阴茎耻骨沟正常显露。术后阴茎瘢痕类似包茎环切术后,比较美观。术后并发症仅为包皮轻度水肿,术后2～3个月内完全消退。术后随访3～6个月,无术后复发病例。结论 Borselino术是治疗隐匿性阴茎的一个很好的方法,较好地解除了其病理异常,保留了阴茎腹侧皮肤的完整性,术后瘢痕少,阴茎外观佳。

Objective To evaluate the effect of Borselino procedure in the treatment of concealed penis. Methods 27 patients with concealed penis admitted to our hospital from May 2011 to January 2012 were selected. The clinical manifestations of these patients were small penis, penis concealed under skin, abdominal skin only reaching prepuce, prepuce wrapping penis like bird beak but not attached to penis. When the base of penis was squeezed, the penis was exposed. All the 27 patients were treated by Borselino procedures. Results All the 27 patients had satisfactory effect. When the penis was limp, the penis, penis scrotum groove and penis pubis groove were exposed obviously. The scar after surgery was like one after circumcisions, which was relatively aesthetic. The complication after surgery was mild edema of prepuce, and disappeared two or three months after surgery. All the patients were followed up for three to six months and no patients relapsed. Conclusion Borselino procedure is a very good method, which not only relieves the pathologic abnormalities, but also keeps the integrity of penile ventral skin.