Christianakis Efstratios
Department of Pediatric Surgery, Pendeli Children's Hospital, Palaia Pendeli, Athens, Greece.
BMC Urol. 2008 Mar 4;8:6. doi: 10.1186/1471-2490-8-6.
A new technique for the treatment of children's phimosis is presented that minimizes the repairing time, the postoperative complications and maintains the physical foreskin appearance intact.
Eightyseven children with phimosis were treated with this new developed technique, between 2003 and 2005. Sutureless prepuceplasty creates a permanent surgical extension of the close prepuce. Stretching and retraction of phimotic foreskin reveals a tight prepuce ring that is cutting in its dorsal surface longitudinally. Rarely triple symmetric incisions in the preputial outlet are necessary. The foreskin is loose and moves absolutely free in bilateral courses. The wounds are healing by second intention. Antisepsis, steroids and Elicina cream, (which contains allantoin, collagen, elastin, glycolic acid and vitamins A, D, and E) should apply daily, for twenty to thirty days.
The foreskin is moving in centripetal or efferent courses absolutely loosely, painlessly and bloodlessly. The mean time of follow-up was 27 months (one to four years). No complications were observed.
Sutureless prepuceplasty may present an acceptable alternative in children's phimosis reconstruction.
介绍一种治疗儿童包茎的新技术，该技术可将修复时间、术后并发症降至最低，并保持包皮外观完整。
2003年至2005年间，87例包茎患儿接受了这种新开发的技术治疗。无缝合包皮成形术可使紧密的包皮实现永久性手术延长。包茎包皮的拉伸和回缩显示出一个紧绷的包皮环，在其背侧纵向切开。在包皮口很少需要进行三重对称切口。包皮松弛，在双侧路径中可完全自由移动。伤口通过二期愈合。应每天进行防腐处理，并涂抹类固醇和含有尿囊素、胶原蛋白、弹性蛋白、乙醇酸以及维生素A、D和E的埃利西纳乳膏，持续二十至三十天。
包皮在向心或离心路径中移动时完全松弛、无痛且无出血。平均随访时间为27个月（一至四年）。未观察到并发症。
无缝合包皮成形术可能是儿童包茎重建的一种可接受的替代方法。
