Xie Jun, Liu Ji-hong, Fan Long-chang, Wu Jiang-tao, Wang Tao, Wang Shao-gang, Ye Zhang-qun
Department of Urology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei 430030, China.
Zhonghua Nan Ke Xue. 2006 Dec;12(12):1091-4.
To study the effect and complications of augmentation phalloplasty by implanting autogenous tunica vaginalis grafts into the bilateral albuginea of the penile corpus.
Five mongrel dogs underwent augmentation phalloplasty with bilateral autogenous tunica vaginalis grafts. The increase in the volume of the corpora cavernosa was achieved by applying autogenous tunica vaginalis grafts to longitudinal openings made bilaterally in the albuginea along the whole length of the penile cavernous corpora. The perimeter of the penile cavernous corpora was measured in the flaccid state and during erection and dynamic infusion cavernosometry (DIC) was conducted for each dog before and after the operation. Histology of the penis was examined using hematoxylin and eosin stains.
The average increase in the perimeter of the penile cavernous corpora was 21. 1% in the erectile state but unobvious in the flaccid state 3 months after surgery. There were no statistically significant differences in cavernosometric parameters before and after the operation, and neither were there any other severe postoperative complications. The grafts had mild inflammatory reaction and fibrosis with apparent reformation of the tunica albuginea over the patch site.
The augmentation phalloplasty technique with bilateral autogenous tunica vaginalis grafts was proved to be effective and reliable with few complications, particularly conspicuous in increasing the volume of the erectile tissues during erection.
研究将自体睾丸鞘膜移植至阴茎海绵体白膜双侧进行阴茎增粗成形术的效果及并发症。
5只杂种犬接受了双侧自体睾丸鞘膜移植阴茎增粗成形术。通过将自体睾丸鞘膜移植至沿阴茎海绵体全长在白膜双侧制作的纵向开口处，实现海绵体体积的增加。在阴茎疲软状态和勃起状态下测量阴茎海绵体周长，并在术前和术后对每只犬进行动态灌注海绵体测压（DIC）。使用苏木精和伊红染色检查阴茎组织学。
术后3个月，阴茎海绵体周长在勃起状态下平均增加21.1%，在疲软状态下不明显。手术前后海绵体测压参数无统计学显著差异，术后也无其他严重并发症。移植物有轻度炎症反应和纤维化，补片部位白膜明显重塑。
双侧自体睾丸鞘膜移植阴茎增粗成形术被证明有效且可靠，并发症少，尤其在勃起时增加勃起组织体积方面显著。
