Lee Tack, Suh Hong-Jin, Han Jeong-Uk
Department of Urology, Inha University School of Medicine, Incheon, Korea.
Urology. 2005 Apr;65(4):789-92. doi: 10.1016/j.urology.2004.10.075.
Correction of the congenital concealed penis is a difficult surgical challenge. Many techniques have been described for its treatment that differ according to the incision lines and covering techniques, but the results have generally been disappointing. We report a novel surgical technique for unfurling the inner prepuce and outer penile skin and thus obtaining sufficient penile skin coverage.
Surgical techniques for correcting the concealed penis are aimed at freeing the penis from any tethering or webbing, providing adequate penile skin coverage and fixing the proximal penile skin to the underlying fascia to prevent the body of the penis from retracting and detaching from its overlying skin. The unfurling method we describe here consists of dividing the outer penile skin to the penile base bilaterally, with ventral and dorsal incisions of the inner prepuce in the midline, perpendicular to the incision of the outer skin.
This method is simple and provides a good blood supply to the flap. It appears to show good subjective and objective results, and no serious complications have developed.
先天性隐匿阴茎的矫正手术是一项具有挑战性的外科难题。针对其治疗，已有多种技术被描述，这些技术在切口线和覆盖技术方面各有不同，但总体效果往往令人失望。我们报告一种新颖的手术技术，用于展开内包皮和阴茎外皮肤，从而获得足够的阴茎皮肤覆盖。
矫正隐匿阴茎的手术技术旨在将阴茎从任何束缚或蹼状组织中解放出来，提供足够的阴茎皮肤覆盖，并将阴茎近端皮肤固定于其下方的筋膜，以防止阴茎体退缩并与覆盖其上的皮肤分离。我们在此描述的展开方法包括双侧将阴茎外皮肤分割至阴茎根部，在内包皮的中线处进行腹侧和背侧切口，该切口与外皮肤切口垂直。
该方法简单，皮瓣血供良好。主观和客观结果似乎都不错，且未出现严重并发症。
