带蒂岛状包皮瓣在隐匿阴茎矫治术中的应用

目的 介绍带蒂岛状包皮瓣在隐匿阴茎矫治术中的应用.方法 总结分析四川大学华西医院从1994年7月至2011年8月收治的56例应用带蒂岛状包皮瓣阴茎成形术矫治的完全型隐匿阴茎患儿的临床资料,结合文献探讨该手术的要点及优缺点.结果 所有56例患儿术后获得了1个月至7年(平均1.4年)的随访,术后效果均满意,包皮水肿轻,阴茎显露好,无阴茎回缩及复发发生,未见明显瘢痕挛缩.结论 隐匿阴茎可根据阴茎皮肤的缺失情况分为完全型和部分型以指导手术的选择并评估手术的疗效.恰当的手术年龄以学龄前为佳,伴有肥胖的隐匿阴茎患儿最好在减轻体重后考虑手术,改良Devine法治疗部分型隐匿阴茎,带蒂岛状包皮瓣阴茎成形术用于治疗完全型隐匿阴茎都有较好的手术效果.

The use of pedicled skin flap for buried penis

Objective To study the outcome of using pedicled skin flap of foreskin for phalloplasty in the management of complete buried penis.Methods A retrospective review was carried out in West China Hospital between July 1994 and August 2011.Results The follow up period ranged from 1 month to 7 years (mean 16 months).All patients achieved good results and got satisfactory appearance.There was no voiding problem,wound infection,and skin necrosis.Conclusions Buried penis could be classified into two types according to skin deficiency (partial or complete).The appropriate timing of surgery is preschool stage.If the patient is extremely obese,dietary restriction and vigorous exercise should be done before surgical correction.The modified Devines operation is simple and can achieve satisfactory results in partially buried penis,whereas the transverse preputial island flap penoplasty is ideal in treating completely buried penis.