经阴茎腹侧阴茎周围组织环形松解、白膜固定包皮整形术治疗小儿埋藏阴茎

目的:探寻治疗小儿埋藏阴茎的简单、有效手术方法。方法:根据埋藏阴茎的临床特点,设计一种新的手术方式即经阴茎腹侧阴茎周围组织环形松解、白膜固定包皮整形术:阴茎根部腹侧"V"形切口,环形松解阴茎浅、深筋膜及异常附着的肉膜肌、纤维索带,阴茎根部左、右侧白膜分别与胸膝位耻骨结节前筋膜的1、11点各缝合固定1针进行手术,共治疗小儿埋藏阴茎38例,术后随访2~6个月。结果:38例出院时阴茎外观形态均满意,阴茎体完全显露。术后随访期间35例(92.1%)阴茎外观形态满意,2例仍有阴茎轻度埋藏,1例出现包皮口瘢痕狭窄。结论:采用经阴茎腹侧阴茎周围组织环形松解、白膜固定包皮整形术治疗小儿埋藏阴茎是一简单、有效的手术方法,具有推广应用价值,但仍需积累更多的病例和更长时间的随访。

Surgical Correction of Buried Penis in Children by Solution and Fixation of the Penile Venter

OBJECTIVE: To search for a simple and effective surgical procedure for the treatment of the buried penis in children. METHODS: We designed a new surgical procedure for the treatment of the buried penis, making a "V" incision in the venter of the radix penis, solving the superficial and deep fascia and the abnormal attachment of the dartos muscle, and fixing the left and right side of the radix penis respectively to 1 and 11 o'clock points in the fascia of the pubis nodus in the knee-chest position. A total of 38 children with the buried penis underwent the newly designed procedure and were followed up for 2-6 months. RESULTS: All the patients were discharged with desirable cosmetic appearance of the penis and completely revealed penile shafts. Follow-up showed satisfactory penile shape in 35 cases (92.11%), slightly buried penis in 2 and cicatricial constriction of the ostium praeputiale in 1. CONCLUSION: The newly designed surgical procedure of solution and fixation of the penile venter is simple and effective for the treatment of the buried penis in children and well worthy to be introduced into clinical practice.