Tang Da-xing, Wu De-hua, Yan Shui-heng, Tao Chang, Xu Shan, Huang Yong, Zhang Cong, Li Min-ju
Department of Urology and Oncology, Children's Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang 310003, China.
Zhonghua Nan Ke Xue. 2006 Jul;12(7):622-4.
To evaluate some currently used surgical approaches to the correction of congenital penile curvature.
Seventy-six patients with congenital penile curvature underwent surgical correction, of whom 67 were accompanied with hypospadias, 5 with epispadias and 4 with normal urethral meatus. The methods for straightening the phallus included 5-week preoperative hCG treatment, complete degloving of penile skin, release of periurethral fibrous bands extending proximally to the meatus, plication of dorsal or ventral tunica albuginea, and embedding of dermis and tunica vaginalis grafts.
All the cases were followed up for 2 months to 2 years, and the mean follow-up time was 9.3 months. Satisfactory phallus straightening was achieved in 67 cases (88%), mild residual chordee remained in 6 (8%), which needed no reoperation for the time being unless warranted by follow-up, and relapse occurred in 3 (4%), which needed further operation.
Most cases of congenital penile curvature can be corrected sufficiently with the above methods.
评估当前用于矫正先天性阴茎弯曲的一些手术方法。
76例先天性阴茎弯曲患者接受了手术矫正，其中67例伴有尿道下裂，5例伴有尿道上裂，4例尿道口正常。阴茎矫直方法包括术前5周人绒毛膜促性腺激素（hCG）治疗、阴茎皮肤完全脱套、松解向尿道口近端延伸的尿道周围纤维带、折叠阴茎背侧或腹侧白膜以及植入真皮和阴道鞘移植物。
所有病例随访2个月至2年，平均随访时间为9.3个月。67例（88%）阴茎矫直效果满意，6例（8%）有轻度残余阴茎下弯，目前无需再次手术，除非随访有指征，3例（4%）复发，需要进一步手术。
大多数先天性阴茎弯曲病例可通过上述方法得到充分矫正。
