耻骨前入路阴茎肉膜固定术治疗小儿埋藏式阴茎

目的:观察耻骨前入路阴茎肉膜固定术治疗小儿埋藏式阴茎的效果。方法:2002年8月~2003年12月共采用该术式治疗小儿埋藏式阴茎34例,并进行随访,观察术后效果及复发情况。结果:平均手术时间为45m in,34例患儿术后均获满意疗效。获1年以上随访21例,失访13例。随访病例中未见复发。结论:该术式设计合理、简单、有效,适合于无包皮不足的小儿埋藏式阴茎。

Treatment of Buried Penis in Children with Fixation at the Dartos Coat of Penis Through Prepubic Route

Objective: To observe the long-time results of the treatment of buried penis with fixation at the base of penis through prepubic route.Methods: From Aug 2002 to Dec 2003,the procedure was performed in 34 children without penile skin insufficiency.The major technique involved the release of hided penis shaft by partly shearing suspensory ligament,fixating the buck's fascia and tunica albuginea at 3 and 9 o'clock positions with the subcutaneous penile skin at the base of penis just under the pubic symphysis.Results: Twenty-one patients have been reviewed over one year with satisfactory appearance.Thirteen patients were lost to follow-up.No recurrence happened in our group.Conclusion: We compare this technique with major treatment methods for buried penis in children at present,and we conclude this technique is a reasonable,simplified and aesthetical method for the treatment of buried penis in children.