儿童隐匿阴茎手术治疗82例

Surgical treatment of childhood concealed penis

目的：探讨手术治疗儿童隐匿阴茎的疗效。方法回顾性分析2009年1月至2011年12月在本院接受手术治疗的82例隐匿阴茎患儿临床资料。术前检查显示阴茎外观短小，严重者仅见包皮堆而无阴茎体显露，用拇指和食指将阴茎周围皮肤后推可显露发育及长度基本正常的阴茎体，松手后阴茎体迅速回缩。患儿均有包皮口狭窄，阴茎头不外露。手术操作包括：松解包皮狭窄环、脱套阴茎皮肤、转移阴囊皮肤增加阴茎体皮肤覆盖、固定海绵体白膜和阴茎根部皮下组织，重建阴茎阴囊角。结果82例均获随访，平均手术年龄为5（1～13）岁，平均手术时间为40（30～70）min，平均随访时间为6（3～24）个月。术后阴茎体显露良好，阴茎体无明显回缩。结论手术可有效矫正隐匿阴茎外观，改善阴茎体显露。

Objetive to investigate the surgical outcome of concealed penis in children. Methods 82 cases of concealed penis surgically repaired between January 2009 and December 201 1 were retrospectively re-viewed.On physical examination,the penis was buried below the surface of prepubic skin,but can be palpated and visualised by applying pressure on the opposite side of the shaft base,All patients had phimosis. Surgical techniques：incised the phimotic ring,degloved the penile skin,advanced scrotal skin to cover penile shaft, fixed the subdermal tissue and albuginea at the base of penis, reconstructed the penoscrotal an-gle. Results 82 cases were all follow-up,mean age was 5 （ranged from 1 to 1 3）years,mean operative time was 40（30~70）minutes,mean follow-up time was 6（3~24）months. The cosmetic result was satisfied,with penile shaft obviously protruding and no retraction. Conclusion Surgery can effectively improve the cosmetic outcome of concealed penis.