阴茎阴囊交界处切口联合Devine术治疗中重度小儿隐匿性阴茎

Management of moderate to severe pediatric concealed penis in children by Devine's technique via incision between the penis and scrotum

目的：探讨小儿中重度隐匿性阴茎简便有效的手术治疗方法。方法：应用阴茎阴囊交界处切口联合Devine术式治疗68例中、重度小儿隐匿性阴茎患者，年龄3—13岁，平均6．5岁；其中中度30例，重度38例。结果：术后近远期疗效较好，阴茎显露满意，外观呈包皮环切样，术后3个月随访阴茎长度3．0～5．2cm，平均延长（2．35±0．35）cm。结论：阴茎阴囊交界处切口联合Devine术是目前治疗中重度小儿隐匿性阴茎简便有效的方法。

Objective ： To search for a simple and effective surgical approach to the management of moderate to severe pediatric concealed penis in children. Methods ： We used Devine＇s technique via incision between the penis and scrotum in the treatment of 68 cases of moderate to severe pediatric concealed penis. The patients were aged 3 - 13 （ mean 6.5 ） years, 30 with moderate and 38 with severe pediatric concealed penis. Results： This strategy achieved good near- and long-term effects and satisfactory appearance of the penis, which was similar to that of circumcision. At 3 months after surgery, the penile length was 3 - 5.2 cm, averaging （ 2.35 ± 0.35 ） cm. Conclusion ： Devine＇s technique via incision between the penis and scrotum is a simple and effective surgical option for moderate to severe pediatric concealed penis in children.