肥胖者伴发隐匿阴茎的处理原则

目的探讨肥胖者伴隐匿阴茎的合适手术治疗方法。方法对40例不同类型肥胖者伴发隐匿阴茎病人采用不同的处理方法，单纯型：减肥观察或包皮“Y-V”成型；包茎型：切开包皮外板2、6和10点，内板4、8和12点，嵌插缝合；纤维索带型：切除松解阴茎背侧挛缩的筋膜，上移阴茎阴囊交界部行“Y—V”成型术；蹼状阴茎：作阴茎阴囊交界部腹侧横切纵缝。结果所有病例术后阴茎体显露十分满意。结论对肥胖者伴隐匿阴茎正确的分型有助于选择合理的手术方式。

Treatment of concealed penis in obese patients

Objective To explore the appropriate surgical treatment of concealed penis in obese patients. MethodsDifferent operation were selected in 40 patients according the type of concealed penis. Simple concealed penis:weight reduction and observation or Y- Vplasty of acrobystia. Phimosis type: slitting the outer plate of prepuce at 2, 6 and 10 clock point and at 4, 8 and 12 clock point on the inner plate then making a tongue- groove suture. Fascia bands type: removing the dysgenic dartos fascia band and moving up the penoscrotal spot and make a Y- V plasty. Webbing penis: taking a transsection and longitudinal suture at the penoscrotal spot.ResultsAll patients had an effective exposure of penis ofter operation.ConclusionThe correct classification of the concealed penis will help to select optimal surgical method.