半脱套松解法治疗隐匿阴茎疗效探讨

目的:探讨一种改良简化隐匿阴茎术式,既有较好手术效果,又减少减轻各种术后并发症。方法:58例隐匿阴茎患者,平均年龄6.8(3～15)岁。术式包括矫正狭窄包皮口使阴茎头完全显露、半脱套法翻转包皮并矫形、沿白膜表面切除发育不良条索带达阴茎悬韧带前端、使阴茎体释放但不作白膜固定。结果:所有患者均一次性手术成功,手术时间平均33(15～45)min,术后阴茎体外长度从术前平均1.4(0.5～2.8)cm增至3.9(3.2～8.5)cm。所有患者术后随访1～3年,包括阴茎外观、长度和自我感觉等,均效果满意。该术式简便、并发症少且术后恢复快。手术不影响阴茎根部深处神经血管和阴茎悬韧带等,不损伤阴茎本身结构及功能。结论:该术式简单有效,术后效果较好,尤其适合过度担忧手术并发症、将来性功能和生育问题的部分患者。

Half-gloving cordectomy: a modified procedure for concealed penis

Objective: To search for a simple surgical procedure for the treatment of concealed penis that may have better effect and less complications.Methods: We used a modified surgical method in the treatment of 58 patients with concealed penis aged from 3 to 15(mean 6.8) years.The operation was simplified and involved the following steps: wholly unveiling the penis glans,half-degloving the foreskins,cutting off all the adhesive fibers up to the penile suspensory ligaments,and liberating the external penis.Results: The operation was successful in all the patients,with the operative time of 15-45(mean 33) minutes,hospital stay of 2-5(mean 3.5) days,but no complications except mild foreskin edema in 5 cases.The external penis was prolonged from 0.5-2.8(mean 1.4) cm preoperatively to 3.2-8.5(mean 3.9) cm postoperatively.The patients were followed up for 1-3 years,all satisfied with the length and appearance of the penis,and their sexual and reproductive functions were normal.Conclusion: The modified surgical procedure for concealed penis is simple and effective,with desirable outcomes,few postoperative complications and no damage to sexual and reproductive functions.