Yu Weimin, Cheng Fan, Zhang Xiaobin, Ruan Yuan, Yang Sixing, Xia Yue
Department of Urology, Renmin Hospital of Wuhan University, 430060, Wuhan, Hubei Province, China.
Pediatr Surg Int. 2010 Apr;26(4):433-7. doi: 10.1007/s00383-010-2576-7. Epub 2010 Feb 18.
The aim of this study is to report a simple and minimally invasive surgical technique for congenital concealed penis repair.
Described technique includes two approaches based on common principle, which could be selected according to the degree of penis buried. Through the minimally invasive incision at the base of penis, the repair is performed combination of tacking penile base to prepubic fascia and anchoring subcutaneous penile skin to base of penile shaft. The outcome of the operation is evaluated by improvement of penile length and satisfaction of penile appearance.
A statistically significant difference of the penile length between preoperative and postoperative was 2.6 cm for procedure I, and 2.7 cm for procedure II (P < 0.001). There were 58 parents (93.5%) satisfied with the result. No serious intraoperative or perioperative complications. Edema and swelling on the penis are common, but improves with time. All patients are followed for at least 5 months, no retractions occur in any case.
The described technique is simple and minimally invasive. Excellent cosmetic results are achieved with low complication rate and high parent satisfaction. In our experience, there were no additional procedures required to perform deglove or reorganization of the penile skin.
本研究旨在报告一种用于先天性隐匿阴茎修复的简单且微创的手术技术。
所描述的技术包括基于共同原则的两种方法，可根据阴茎隐匿程度进行选择。通过阴茎根部的微创切口，将阴茎根部固定于耻骨前筋膜并将阴茎皮下皮肤固定于阴茎体基部来进行修复。通过阴茎长度的改善和阴茎外观满意度来评估手术结果。
手术I术前与术后阴茎长度的统计学显著差异为2.6厘米，手术II为2.7厘米（P < 0.001）。58位家长（93.5%）对结果满意。术中及围手术期无严重并发症。阴茎水肿和肿胀常见，但会随时间改善。所有患者至少随访5个月，无一例出现回缩。
所描述的技术简单且微创。可获得极佳的美容效果，并发症发生率低且家长满意度高。根据我们的经验，无需额外进行阴茎皮肤脱套或重组手术。
