Kamal Baher A
Department of Urology, King Faisal University, Dammam, Saudi Arabia.
Int Surg. 2009 Jan-Feb;94(1):35-7.
The pathogenesis and methods of prevention of penile skin bridges are discussed, with a review of the literature. This was a retrospective study on 57 adult men who presented with penile skin bridges at King Fahd University Hospital, Khobar, Saudi Arabia, over a period of approximately 22 years. All patients gave a history of circumcision during the first month after birth. The bridges were surgically excised. The skin bridges were single (23 patients) or multiple (34 patients). Their edges were attached to the distal penile shaft proximally and the glans distally. Their width varied from 1 mm to 3 cm. They were all successfully excised under local or general anesthesia. Penile skin bridges are a rare complication of neonatal circumcision. They are caused by skin adhesions that occur during childhood. With aging, the adhesions separate partially at the corona to form bridges. Careful suturing and good dressing at the time of circumcision are simple procedures that can prevent adherence of the distal prepetual skin flap to the glans penis.
本文结合文献回顾，探讨了阴茎皮肤桥的发病机制及预防方法。这是一项对沙特阿拉伯胡拜尔法赫德国王大学医院约22年间收治的57例患有阴茎皮肤桥的成年男性进行的回顾性研究。所有患者均有出生后第一个月内接受包皮环切术的病史。这些桥状组织均通过手术切除。皮肤桥为单个（23例患者）或多个（34例患者）。其边缘近端附着于阴茎远端干，远端附着于龟头。其宽度从1毫米到3厘米不等。所有病例均在局部或全身麻醉下成功切除。阴茎皮肤桥是新生儿包皮环切术的一种罕见并发症。它们是由儿童期发生的皮肤粘连引起的。随着年龄增长，粘连在冠状沟处部分分离形成桥状组织。包皮环切术时仔细缝合和良好包扎是可防止阴茎远端包皮皮瓣与阴茎头粘连的简单操作。
