Frenkl Tara L, Agarwal Saurabh, Caldamone Anthony A
Section of Pediatric Urology, Hasbro Children's Hospital, Brown University Medical School, Providence, Rhode Island, USA.
J Urol. 2004 Feb;171(2 Pt 1):826-8. doi: 10.1097/01.ju.0000107824.72182.95.
The buried penis can cause secondary phimosis, recurrent balanitis and social embarrassment. We report our results using a simplified technique for repair.
A retrospective chart review of 83 consecutive patients undergoing buried penis repair between March 1995 and March 2001 was performed. Indications for surgery included recurrent balanitis, secondary phimosis, difficulty holding the penis during voiding, spraying of the urinary stream, or parental or patient concern for social embarrassment. The technique involves fixation of the subcutaneous penile skin at the base of the degloved penis to Buck's fascia of the penile shaft at the 3 and 9 o'clock positions.
For the 79 patients included in the study average followup was 4.4 years. Group 1 consisted of 26 patients who underwent circumcision at the time of buried penis repair. Six patients had hypospadias and 13 had penoscrotal webbing that was repaired simultaneously. Three patients (11.5%) had recurrent buried penis that required a repeat procedure and 1 (3.8%) required revision of the circumcision only. Three patients (11.5%) with penoscrotal webbing had mild recurrence requiring no further treatment. Group 2 consisted of 49 patients who underwent revision of the circumcision at the time of buried penis repair. Seven patients (14.3%) had mild recurrence that did not require further treatment. Group 3 consisted of 4 patients who underwent liposuction at the time of buried penis repair. One patient experienced lymphedema of the ventral distal shaft skin, which required subsequent excision.
The buried penis repair is a simple and effective outpatient procedure with few complications and recurrences. It can be used as a primary or secondary procedure and affords good cosmetic results.
埋藏阴茎可导致继发性包茎、复发性龟头炎及社交尴尬。我们报告采用一种简化技术进行修复的结果。
对1995年3月至2001年3月期间连续83例行埋藏阴茎修复术的患者进行回顾性病历分析。手术指征包括复发性龟头炎、继发性包茎、排尿时难以握住阴茎、尿流喷洒，或家长或患者担心社交尴尬。该技术包括在脱套阴茎底部将皮下阴茎皮肤固定于阴茎干白膜的3点和9点位置。
纳入研究的79例患者平均随访4.4年。第1组由26例在埋藏阴茎修复时同时行包皮环切术的患者组成。6例患者合并尿道下裂，13例合并阴茎阴囊蹼并同时进行了修复。3例患者（11.5%）复发性埋藏阴茎需要再次手术，1例（3.8%）仅需行包皮环切术修正。3例合并阴茎阴囊蹼的患者有轻度复发，无需进一步治疗。第2组由49例在埋藏阴茎修复时行包皮环切术修正的患者组成。7例患者（14.3%）有轻度复发，无需进一步治疗。第3组由4例在埋藏阴茎修复时行吸脂术的患者组成。1例患者出现阴茎腹侧远端皮肤淋巴水肿，随后需要切除。
埋藏阴茎修复术是一种简单有效的门诊手术，并发症和复发少。它可作为一期或二期手术，美容效果良好。
