隐匿性阴茎的诊断与治疗分析

目的提高隐匿性阴茎的诊断与治疗水平.方法 1998年8月～2004年1月,共收治43例隐匿性阴茎患儿,年龄2～14岁,平均7岁.其中肥胖患儿8例;1例伴蹼状阴茎.本组均采用黄鲁刚等设计的术式,手术的关键是将阴茎海绵体根部的白膜固定在阴茎与腹壁交接处的皮下筋膜上,1例同时行阴茎阴囊交界处横切纵缝,矫正蹼状阴茎;2例肥胖患儿行耻骨前脂肪剔除术.结果术后随访3个月～2年,8例肥胖患儿疗效欠满意,其中2例行耻骨前脂肪剔除术后的患儿,远期效果欠佳.余35例术后阴茎外观改善满意.结论该术式治疗隐匿性阴茎,方法简便,效果满意,但对肥胖患儿手术应慎重.

DIAGNOSIS AND TREATMENT OF CONCEALED PENIS IN 43 CHILDREN

Objective To improve the diagnosis and treatment of concealed penis in children. Methods From August 1998 to January 2004, 43 cases of concealed penis in children were treated with Huang Lugang's procedure aging aged 2-14 years (7 years on average). Eight children are obesity. The albuginea tissue were fixed to the lateral Buck's fascia at the base of the penis. Removal of the excessive suprapublic fat was given in 2 cases of obesity type. Results All patients were followed up from 3 to 24 months. The results were satisfactory in 35 (81.4%).The penile contour were dissatisfactory in 8 patients with obesity including 2 patients given removal of the excessive suprapublic fat. Conclusion The Huang Lugang's procedure was simple and can achieved satisfactory results, but it should be used carefully in case of obesity type.