硅胶片置入及自体颗粒脂肪注射阴茎延长增粗术

目的探讨防止阴茎延长后回缩的阴茎延长增粗手术。方法在阴茎根部背侧V形切开,将全部阴茎浅悬韧带及部分深悬韧带切断,为了防止切断的阴茎韧带与耻骨联合重新粘连而回缩,根据阴茎悬韧带附着于耻骨联合的面积,采用宽1.5～2.5cm,长2.3～3.6cm,厚2～3mm的硅胶片置入,缝合于其表面,采用自体颗粒脂肪30～48ml,行阴茎背侧深筋膜表面注射。结果16例患者,阴茎静态下延长长度为1.8～5.1cm,平均2.91cm;增粗直径0.6～1cm,平均0.85cm,观察期为3个月～2年,回缩率小于8%,阴茎增粗后缩小率低于10%。结论硅胶片置入结合自体颗粒脂肪注射是一种理想的阴茎延长增粗术,可有效防止阴茎延长后的回缩。

The penis prolongation and augmentation combined with autologous granular fat injection and silicone implantation

OBJECTIVE: To prevent the retraction of the penis after prolongation and augmentation. METHODS: After all the superficial and part of the deep suspensory ligment amputation, we implanted the silicon sheet (the length 2.3-3.6 cm, the width 1.5-2.5 cm, the thickness 2-3 mm) and injected autologous granular fat (30-48 ml) into penis. RESULTS: 16 patients (age 22-63 years, averagely 38 years) underwent this kind operation, the prolongation length is 1.8-5.1 cm, the average was 2.91 cm, the increased diameter of penis was 0.6-1 cm, the average is 0.85 cm, the following period is 3 months to 2 years. The results are satisfactory with the penis retraction less than 8%, and less than 10% decrease in diameter. CONCLUSIONS: This method is an ideal way of the penis prolongation and augmentation, the implatation of the silicon sheet is effective way to prevent the retraction of the penis.