Ma Hong, Li Xu-Liang, Wei Guang-Hui, Hu Yue-Guangi, Lin Tao, He Da-Wei, Fang Yong, Liu Yuan-Mei
Department of Pediatric Surgery, the Affiliated Hospital of Zunyi Medical College, Zunyi, Guizhou 563003, China.
Zhonghua Nan Ke Xue. 2008 Mar;14(3):251-4.
To search for a simple and effective surgical procedure for the treatment of the buried penis in children.
We designed a new surgical procedure for the treatment of the buried penis, making a "V" incision in the venter of the radix penis, solving the superficial and deep fascia and the abnormal attachment of the dartos muscle, and fixing the left and right side of the radix penis respectively to 1 and 11 o'clock points in the fascia of the pubis nodus in the knee-chest position. A total of 38 children with the buried penis underwent the newly designed procedure and were followed up for 2-6 months.
All the patients were discharged with desirable cosmetic appearance of the penis and completely revealed penile shafts. Follow-up showed satisfactory penile shape in 35 cases (92.11%), slightly buried penis in 2 and cicatricial constriction of the ostium praeputiale in 1.
The newly designed surgical procedure of solution and fixation of the penile venter is simple and effective for the treatment of the buried penis in children and well worthy to be introduced into clinical practice.
探寻一种治疗小儿隐匿阴茎的简单有效手术方法。
我们设计了一种治疗隐匿阴茎的新手术方法，在阴茎根部腹侧做“V”形切口，松解浅、深筋膜及肉膜肌的异常附着，并在膝胸位将阴茎根部左右两侧分别固定于耻骨结节筋膜的1点和11点位置。共有38例隐匿阴茎患儿接受了新设计的手术，并进行了2至6个月的随访。
所有患者出院时阴茎外观良好，阴茎体完全显露。随访显示，35例（92.11%）阴茎外形满意，2例轻度隐匿阴茎，1例包皮口瘢痕性狭窄。
新设计的阴茎腹侧松解固定手术方法治疗小儿隐匿阴茎简单有效，值得临床推广应用。
