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儿童阴茎弯曲的管理

Management of penile curvature in children.

作者信息

Snodgrass Warren T

机构信息

UT Southwestern Medical Center and Children's Medical Center Dallas, Dallas, Texas, USA.

出版信息

Curr Opin Urol. 2008 Jul;18(4):431-5. doi: 10.1097/MOU.0b013e32830056d0.

DOI:10.1097/MOU.0b013e32830056d0
PMID:18520768
Abstract

PURPOSE OF REVIEW

Ventral penile curvature occurs in both hypospadias and so-called 'chordee without hypospadias', and so its correction is a topic of relevance to pediatric urologists.

RECENT FINDINGS

Dorsal plication and ventral corporal incision with grafting are the two most commonly used methods to straighten ventral penile curvature. Urethral plate elevation from the corpora has previously been reported to reduce bending, and in the past year this maneuver has been combined with ventral corporal grafting or with dissection of the formed urethra to the bulb to achieve straightening while conserving the plate for urethroplasty.

SUMMARY

Continuing innovation in hypospadias surgery offers additional options for straightening the congenitally bent penis.

摘要

综述目的

阴茎腹侧弯曲见于尿道下裂和所谓的“无尿道下裂的阴茎下弯”,因此其矫正一直是小儿泌尿外科医生关注的话题。

最新发现

背侧折叠术和腹侧海绵体切开加移植术是矫正阴茎腹侧弯曲最常用的两种方法。以往有报道称,将尿道板从海绵体上抬起可减少弯曲,在过去一年里,这一操作已与腹侧海绵体移植或已形成尿道至球部的解剖相结合,以在保留尿道板用于尿道成形术的同时实现矫正。

总结

尿道下裂手术的持续创新为矫正先天性弯曲阴茎提供了更多选择。

相似文献

1
Management of penile curvature in children.儿童阴茎弯曲的管理
Curr Opin Urol. 2008 Jul;18(4):431-5. doi: 10.1097/MOU.0b013e32830056d0.
2
Ventral penile lengthening versus dorsal plication for severe ventral curvature in children with proximal hypospadias.腹侧阴茎延长术与背侧折叠术治疗近端尿道下裂患儿严重腹侧弯曲的比较
J Urol. 2008 Oct;180(4 Suppl):1743-7; discussion 1747-8. doi: 10.1016/j.juro.2008.03.087. Epub 2008 Aug 21.
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[Congenital penile curvature (chordee without hypospadias): surgical treatment for correction of penile curvature and/or buccal mucosal graft urethroplasty].[先天性阴茎弯曲(无尿道下裂的尿道下裂):阴茎弯曲矫正和/或颊黏膜移植尿道成形术的手术治疗]
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Correction of Residual Ventral Penile Curvature After Division of the Urethral Plate in the First Stage of a 2-Stage Proximal Hypospadias Repair.两阶段近端型尿道下裂修复第一阶段尿道板分离后残余阴茎腹侧弯曲的矫正
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Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2006 Mar;20(3):217-9.

引用本文的文献

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Dorsal shortening vs. ventral lengthening for congenital ventral curvature in patients with/without severe hypospadias A meta-analysis of comparative studies.伴有/不伴有重度尿道下裂的先天性腹侧弯曲患者行背侧缩短术与腹侧延长术的比较研究的Meta分析
Can Urol Assoc J. 2023 Jul;17(7):E208-E214. doi: 10.5489/cuaj.8223.
2
[Penis growth and development in children and adolescents: a study based on GAMLSS].[儿童和青少年阴茎的生长与发育:一项基于广义加性模型的位置尺度模型(GAMLSS)的研究]
Zhongguo Dang Dai Er Ke Za Zhi. 2017 Aug;19(8):893-898. doi: 10.7499/j.issn.1008-8830.2017.08.009.
3
[Complications of hypospadias repairs].
[尿道下裂修复术的并发症]
Urologe A. 2014 Jul;53(7):1001-5. doi: 10.1007/s00120-014-3498-0.