Nicolai J P A, Meek M F
Universitair Medisch Centrum Groningen, afd. Plastische Chirurgie, Postbus 30.001, 9700 RB Groningen.
Ned Tijdschr Geneeskd. 2005 Oct 29;149(44):2446-9.
Phimosis of the prepuce can be treated without performing a circumcision. The most common and most effective treatment option is the local application ofcorticosteroid ointment. Should this be insufficiently effective, then the constricted ring can be interrupted with two Z-plasties, which is sufficient to expose the glans penis painlessly. No skin is removed. The intervention may be performed under regional anaesthesia on an outpatient basis. In cases where reconstruction of the prepuce is indicated, this can be accomplished with a distally inverted flap of penile shaft skin combined with the application of free skin grafts.
包皮包茎可不通过包皮环切术进行治疗。最常见且最有效的治疗方法是局部涂抹皮质类固醇软膏。若此方法效果欠佳，可通过两个Z形皮瓣切开狭窄环，这足以无痛暴露阴茎头。无需切除皮肤。该干预操作可在区域麻醉下门诊进行。在需要进行包皮重建的情况下，可采用阴茎干皮肤远端翻转皮瓣并结合游离皮片移植来完成。
