Wang Ta-Min, Chen Hsiao-Wen, Chiang Yang-Jen, Chu Sheng-Hsien, Liu Kuan-Lin, Wang Hsu-Han
Division of Urology, Department of Surgery, Chang Gung Memorial Hospital, Chang Gung University, No 5, Fu-Sing St. Gueishan Township, Taoyuan County 333, Taiwan.
Urol Int. 2010;84(1):10-3. doi: 10.1159/000273459. Epub 2010 Feb 17.
We report on refinements of a technique for preputial covering to prevent complications of redundant prepuce, possibly caused by inadequate surgery for buried penis.
From July 2006 to July 2008, 20 consecutive patients (mean age 4.3 years) underwent surgery for buried penis. The surgical techniques consisted of complete unfurling of the penile shaft, fixation of the penile base skin to Buck's fascia and 1 pedicle flap for skin coverage. Our method for preputial covering is novel in that we create a unique 1-flap covering for the ventral skin defect. Patients were monitored postoperatively at 2 weeks, 1 month and 3 months.
All patients had good or excellent outcomes, with fewer postoperative complications. Two patients developed subcutaneous hematomas that resolved in 2 weeks with conservative treatment. The mean increase in length of penile projection after surgery was 1.7 cm, a statistically significant difference. All patients had good cosmetic results, with increased visualization of the penile shaft.
The preputial covering technique we devised avoided postoperative bulky prepuce caused by residual redundant prepuce. Repeat surgery was also unnecessary for our patients. Furthermore, parents judged the cosmetic results as excellent.
我们报告一种包皮覆盖技术的改进方法，以预防因隐匿阴茎手术不充分可能导致的包皮过长并发症。
2006年7月至2008年7月，连续20例患者（平均年龄4.3岁）接受隐匿阴茎手术。手术技术包括阴茎体完全展开、阴茎根部皮肤固定于白膜以及用1个带蒂皮瓣覆盖皮肤。我们的包皮覆盖方法新颖之处在于，我们为阴茎腹侧皮肤缺损创建了一种独特的单皮瓣覆盖。术后对患者进行了2周、1个月和3个月的监测。
所有患者预后良好或极佳，术后并发症较少。2例患者出现皮下血肿，经保守治疗2周后消退。术后阴茎突出长度平均增加1.7 cm，差异有统计学意义。所有患者外观效果良好，阴茎体可见度增加。
我们设计的包皮覆盖技术避免了因残留多余包皮导致的术后包皮臃肿。我们的患者也无需再次手术。此外，家长对外观效果评价极佳。
