摘要
目的 探讨先天性单纯阴茎下曲的治疗方法和疗效。 方法 采用阴茎皮肤脱套、阴茎背侧白膜折迭、尿道游离以及尿道成形等方法治疗先天性单纯阴茎下曲 2 3例。年龄 1～ 2 1岁 ,平均 7岁。其中Ⅰ型 2例 ,Ⅱ型 11例 ,Ⅲ型 6例 ,Ⅳ型 4例。 结果 Ⅱ型和Ⅲ型 17例经阴茎皮肤脱套 ,Ⅳ型 1例经阴茎皮肤脱套和白膜折迭 ,Ⅰ型 1例和Ⅳ型 2例经阴茎皮肤脱套、尿道游离和白膜折迭 ,Ⅰ型和Ⅳ型各 1例经尿道成形 ,下曲均完全矫正。术中尿道损伤 2例 ,1例术后并发感染、尿瘘 ,8个月后修补治愈。 1例术后阴茎头感刺痛 ,3周后消失。 16例获得随访 7～ 5 7个月 ,平均 2 4个月 ,除1例阴茎头略向腹侧弯曲 (<15°)外 ,15例阴茎完全伸直 ,未见下曲复发。 结论 先天性单纯阴茎下曲需根据不同病因采用不同治疗方法。阴茎皮肤脱套、背侧白膜折迭术并发症少 ,疗效满意 ,是先天性单纯阴茎下曲的基本治疗方法。
Objective To investigate the surgical managements and effects of congenital islated penile curvature. Methods The degloving of penile shaft,penile dorsal tunical plication,urethral division and urethroplasty were performed in 23 patients with this entity including 2 cases of type Ⅰ,11 cases of type Ⅱ,6 cases of type Ⅲ,4 cases of type Ⅳ,mean age 7 years (age 1 to 21 years). Results Of all 23 patients 17 cases of type Ⅱ and Ⅲ were succesfully repaired by degloving of penile shaft;1 case of type Ⅰ,by degloving of penile shaft and dorsal tunical plication;1 case of type Ⅰ and 2 cases of type Ⅳ,by degloving of penile shaft,dorsal tunical plication and urethral division;2 case of type Ⅰ and Ⅳ,by urethroplasty.One case was complicated with urethrocutaneous fistula after urethroplasty,which was succesfully repaired 8 month later;16 cases were followed up average 24 months (range 7 months to 57 months),15 cases showed complete straight penis beside one case with mild curvature less than 15 degree. Conclusions The abnormalities of skin,dartos and Buck's fasciae are main causes of congenital islated penile curvature.Penile degloving,dorsal plication are main surgical methods with minimal complications.
出处
《中华泌尿外科杂志》
CAS
CSCD
北大核心
2004年第4期280-282,共3页
Chinese Journal of Urology
