Chu Chih-Chun, Chen Yi-Hsin, Diau Guan-Yeu, Loh Ih-Wei, Chen Ke-Chi
Division of Pediatric Surgery, Tri-Service General Hospital, National Defense Medical Center, No: 325, Sec2, Cheng-Kung Road, Taipei, Taiwan, ROC.
Pediatr Surg Int. 2007 Nov;23(11):1119-21. doi: 10.1007/s00383-007-2003-x. Epub 2007 Sep 8.
The authors developed a preputial skin flap technique to correct the buried penis which was simple and practical. This simple procedure can be applied to most boys with buried penis. In the last 3 years, we have seen 12 boys with buried penis and have been treated by using preputial flaps. The mean age is about 5.1 (from 3 to 12). By making a longitudinal incision on the ventral side of penis, the tightness of the foreskin is released and leave a diamond-shaped skin defect. It allows the penile shaft to extend out. A circumferential incision is made about 5 mm proximal to the coronal sulcus. Pedicled preputial flaps are obtained leaving optimal penile skin on the dorsal side. The preputial skin flaps are rotated onto the ventral side and tailored to cover the defect. All patients are followed for at least 3 months. Edema and swelling on the flaps are common, but improves with time. None of our patients need a second operation. The preputial flaps technique is a simple technique which allows surgeons to deal with most cases of buried penis by tailoring the flaps providing good cosmetic and functional results.
作者们开发了一种包皮皮瓣技术来矫正隐匿阴茎，该技术简单且实用。这个简单的手术可应用于大多数隐匿阴茎患儿。在过去3年里，我们共接诊了12例隐匿阴茎患儿，并采用包皮皮瓣进行治疗。平均年龄约为5.1岁（3至12岁）。在阴茎腹侧做纵行切口，松解包皮的紧绷状态，形成菱形皮肤缺损区，使阴茎体得以伸展。在冠状沟近端约5mm处做环形切口，获取带蒂包皮皮瓣，保留阴茎背侧最佳的阴茎皮肤。将包皮皮瓣旋转至腹侧并修剪以覆盖缺损区。所有患者均随访至少3个月。皮瓣出现水肿和肿胀较为常见，但会随时间改善。我们的患者均无需二次手术。包皮皮瓣技术是一种简单的技术，外科医生通过修剪皮瓣能够处理大多数隐匿阴茎病例，可获得良好的外观和功能效果。
