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通过海绵体旋转矫正阴茎弯曲:一例报告

Correction of penile curvature by rotation of the corpora cavernosa: a case report.

作者信息

Shaeer Osama

机构信息

Department of Andrology, Faculty of Medicine, Cairo University, and Kamal Shaeer Hospital-Andrology and ART, Cairo, Egypt.

出版信息

J Sex Med. 2006 Sep;3(5):932-937. doi: 10.1111/j.1743-6109.2006.00203.x. Epub 2006 Jun 29.

Abstract

AIM

We report on the corporal rotation technique, customized for the management of ventral curvature in patients without hypospadias.

METHODS

A male patient with ventral curvature of 90 degrees was operated on. The neurovascular bundle was mobilized for a short distance at the point of maximum curvature. The corpora cavernosa were approximated to each other in the dorsal midline by suturing pairs of longitudinal parallel incisions. To avoid urethral narrowing, minimal dissection was used to develop the groove on either side of the corpus spongiosum, to release it from its attachment to the rotated corpora cavernosa.

RESULTS

Full correction of the curvature was achieved, without shortening, erectile dysfunction, or micturition problems.

CONCLUSION

Corporal rotation can be applied for the correction of ventral penile curvature in patients with and without hypospadias, without sacrificing penile length.

摘要

目的

我们报告一种针对无尿道下裂患者腹侧弯曲管理而定制的阴茎旋转技术。

方法

对一名腹侧弯曲90度的男性患者进行手术。在最大弯曲点将神经血管束短距离游离。通过缝合成对的纵向平行切口,使阴茎海绵体在背侧中线处相互靠近。为避免尿道狭窄,采用最小限度的解剖在海绵体两侧形成沟,将其从与旋转的阴茎海绵体的附着处松解。

结果

实现了弯曲的完全矫正,且无阴茎缩短、勃起功能障碍或排尿问题。

结论

阴茎旋转可用于矫正有或无尿道下裂患者的阴茎腹侧弯曲,而不牺牲阴茎长度。

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