McLorie G A, Bellemore M C, Salter R B
Division of Urology, Hospital for Sick Children, University of Toronto, Ontario, Canada.
J Pediatr Surg. 1991 Feb;26(2):201-3. doi: 10.1016/0022-3468(91)90910-l.
In the exstrophy-epispadias complex of anomalies, penile deformity represents one of the factors that causes long-term disability in males. In order to define the extent to which the separation of the bony elements may contribute to the final penile length and configuration, an in vitro model was devised using an adult male pelvis and an inflatable penile prosthesis. This model was used to study the relationship of interpubic distance to penile length. Closure of the "open book" deformity of the bony pelvis resulted in an increase in penile length. Closure of the pubic diastasis is best accomplished by iliac osteotomies. This study supports clinical evidence that iliac osteotomies, when performed in conjunction with closure of the exstrophic urinary bladder, may contribute to an increase in effective penile length.
在膀胱外翻-尿道上裂复合畸形中，阴茎畸形是导致男性长期残疾的因素之一。为了确定骨结构分离对最终阴茎长度和形态的影响程度，使用成年男性骨盆和可充气阴茎假体设计了一个体外模型。该模型用于研究耻骨间距与阴茎长度的关系。骨盆“书本样”畸形的闭合导致阴茎长度增加。耻骨联合分离的闭合最好通过髂骨截骨术来完成。这项研究支持了临床证据，即髂骨截骨术与外翻膀胱闭合术联合进行时，可能有助于增加有效阴茎长度。
