采用游离桡侧前臂皮瓣进行全阴茎再造术以矫正与膀胱外翻相关的小阴茎。
Complete phalloplasty using the free radial forearm flap for correcting micropenis associated with vesical exstrophy.
作者信息
De Fontaine S, Loréa P, Wespes E, Schulman C, Goldschmidt D
机构信息
Plastic Surgery and Urology Departments, University Hospital Erasme, Brussels, Belgium.
出版信息
J Urol. 2001 Aug;166(2):597-9. doi: 10.1097/00005392-200108000-00041.
PURPOSE
We present a new surgical technique for reconstructing the penis in a man with micropenis associated with vesical exstrophy.
MATERIALS AND METHODS
A free radial forearm flap was used to create a penis of normal length and diameter. The flap was wrapped around the native micropenis. A penile prosthesis was then inserted in the flap to provide erection.
RESULTS
The flap was well vascularized and no skin damage was observed 6 years after reconstruction. The patient achieved sexual intercourse on a regular basis. He is satisfied with the result.
CONCLUSIONS
Free transfer of the radial forearm flap may be done in select men with micropenis associated with vesical exstrophy for penile reconstruction. An inflatable prosthesis may be inserted in the flap to provide erection. The results of this technique have remained stable in the long term. This method provides a new tool for phalloplasty in these difficult cases.
目的
我们介绍一种新的手术技术，用于为患有与膀胱外翻相关的小阴茎的男性重建阴茎。
材料与方法
使用游离桡动脉前臂皮瓣构建一个长度和直径正常的阴茎。将皮瓣包裹在原有的小阴茎周围。然后在皮瓣中植入阴茎假体以实现勃起功能。
结果
重建6年后，皮瓣血运良好，未观察到皮肤损伤。患者能够定期进行性生活。他对结果感到满意。
结论
对于患有与膀胱外翻相关的小阴茎的特定男性患者，可采用游离桡动脉前臂皮瓣移植进行阴茎重建。可在皮瓣中植入可膨胀假体以实现勃起功能。该技术的长期效果保持稳定。此方法为这些复杂病例的阴茎成形术提供了一种新工具。
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