Snodgrass Warren T
UT Southwestern Medical Center and Children's Medical Center Dallas, Dallas, Texas, USA.
Curr Opin Urol. 2008 Jul;18(4):431-5. doi: 10.1097/MOU.0b013e32830056d0.
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.
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.
Continuing innovation in hypospadias surgery offers additional options for straightening the congenitally bent penis.
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。
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。
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。