儿童隐匿阴茎(附83例报告)

Buried penis in children (report of 83 cases)

目的 介绍隐匿阴茎的病因、病理、诊断及治疗手段 ,以提高对该病的认识和临床治疗效果。 方法 总结 83例儿童隐匿阴茎的临床资料。其中 8例合并肥胖 ,4例为包皮环切术后阴茎显露不良。 结果 术后随访 1～ 3个月。 8例合并肥胖者中 5例和 4例包皮手术后中 2例疗效欠佳 ,余 76例 (91.6 % )手术效果满意。 结论 应将因肥胖所致的埋藏阴茎、蹼状阴茎以及小阴茎相鉴别 ,以选择外科治疗方法 ,手术是矫治隐匿阴茎的主要手段 ,但对此类患者忌行单纯包皮环切术。

Objective In order to upgrading the level of understanding and management of buried penis.The etiology, pathology, diagnosis and treatment of this disease were reviewed. Methods 83 cases of buried penis were surgically corrected between 1994.7.and 2000.3. The mean age was 8.4 years (4～14 years). Among them, 8 were obese and 4 had circumcision before. Results All patients have been followed up 1～3 months postoperatively.The cosmetic results were satisfactory in 76(91.6%). The penile contour were inadquate in 5 with obesity and in 2 with previous circumcision. Conclusions It should be emphasized that buried penis should be differentiated from webbed penis,micropenis and especially from “fasle buried penis”caused by obesity.Circumcision is contraindicated in buried penis. Surgical correction is the main treatment of buried penis.