Fisher peter C, Park john M
Department of Urology, University of Michigan Medical School, Ann Arbor, USA.
J Urol. 2004 May;171(5):1903-4. doi: 10.1097/01.ju.0000120148.79867.5c.
Counterclockwise penile torsion is a frequently noted congenital deformity. Previously proposed techniques of torsion repair are ineffective or pose significant operative risks. We introduce a novel technique using dorsal dartos flap rotation.
The penis is first degloved completely and a broad based dartos flap is mobilized from the dorsal penile skin. The flap is rotated around the right side of the penile shaft and attached to the ventral aspect, causing clockwise penile rotation. Final slight adjustments are made during skin closure. We applied this technique in 8 patients undergoing circumcision (2), chordee (4) or hypospadias (2) repair.
This technique was effective for correcting penile torsion in all patients. At a mean followup of 8.3 months the cosmetic outcome was satisfactory with the complete correction of penile torsion.
Rotational repositioning of a dorsal dartos flap is an effective technique for correcting penile torsion and it is easily applicable with other penile reconstruction procedures.
阴茎逆时针扭转是一种常见的先天性畸形。先前提出的扭转修复技术无效或存在重大手术风险。我们介绍一种使用背侧肉膜瓣旋转的新技术。
首先将阴茎完全脱套，从阴茎背侧皮肤掀起一个宽基底的肉膜瓣。将该瓣围绕阴茎干右侧旋转并附着于腹侧，使阴茎顺时针旋转。在皮肤缝合时进行最后的微调。我们将该技术应用于8例接受包皮环切术（2例）、阴茎下弯矫正术（4例）或尿道下裂修复术（2例）的患者。
该技术对所有患者的阴茎扭转矫正均有效。平均随访8.3个月时，阴茎扭转完全矫正，美容效果满意。
背侧肉膜瓣旋转复位是矫正阴茎扭转的有效技术，且易于与其他阴茎重建手术联合应用。
