Zhou Li, Mei Hua, Hwang Andrew H, Xie Hui-wen, Hardy Brian E
Department of Pediatric Surgery, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou 510080, China.
J Pediatr Surg. 2006 Jan;41(1):e7-9. doi: 10.1016/j.jpedsurg.2005.10.065.
The aim of the study was to evaluate the effectiveness of a new technique to repair penile torsion in children.
Eighteen boys with penile torsion were evaluated in our department from 1989 to 2003. Eleven had associated hypospadias, 4 had chordee without hypospadias, and 3 had torsion only. The direction of rotation was counterclockwise in 16 cases and clockwise in 2 cases. Torsion was repaired in 6 patients by degloving the penis and reattaching the dartos and the skin (comparative group). In 11 patients (1 with prior repair), the torsion was corrected by suturing the lateral edge of the corpus cavernosum to the pubic periosteum (study group). Two patients were not treated.
Follow-up ranges from 6 months to 7 years. All of the 11 cases in the study group had satisfactory correction of the penile torsion. All of the urethroplasties for hypospadias were successful. In the comparative group, none of 6 patients had satisfactory correction of the rotation.
The technique of degloving the penis and reattaching the skin cannot reliably correct penile torsion in our experience. Lateral suturing of tunica albuginea to the pubic periosteum to repair penile torsion appears to be a better technique.
本研究旨在评估一种修复儿童阴茎扭转的新技术的有效性。
1989年至2003年期间，我们科室对18名阴茎扭转患儿进行了评估。其中11例合并尿道下裂，4例有阴茎下弯但无尿道下裂，3例仅有扭转。16例扭转方向为逆时针，2例为顺时针。6例患者通过阴茎脱套并重新附着肉膜和皮肤进行扭转修复（对照组）。11例患者（1例曾接受过修复）通过将海绵体外侧边缘缝合至耻骨骨膜来纠正扭转（研究组）。2例患者未接受治疗。
随访时间为6个月至7年。研究组的11例患者阴茎扭转均得到满意矫正。所有尿道下裂修复手术均成功。对照组的6例患者中，无一例扭转矫正满意。
根据我们的经验，阴茎脱套并重新附着皮肤的技术不能可靠地矫正阴茎扭转。将白膜外侧缝合至耻骨骨膜以修复阴茎扭转似乎是一种更好的技术。
