Department of Urology, Alexandria University, Alexandria, Egypt.
Urology. 2010 Dec;76(6):1483-7. doi: 10.1016/j.urology.2010.06.018.
To report on the safety of combing suprapubic fat liposuction, penile suspensory ligament severing, and Z-plasty of penoscrotal webbing for penile lengthening in cases of post-circumcision traumatic short penis in adolescents.
This prospective study was conducted in 9 male patients with a mean age of 15.6 ± 1.4 years. All patients had a short penis because of traumatic amputation of the glans in 7 patients and both glanular and partial distal corporal loss in 2 patients during circumcision. All were initially treated in childhood by penile skin advancement for phallic coverage. Penile length and circumference were measured pre- and post-operatively, both in the flaccid state at maximal stretch and in the erect state. Operative technique included Z-plasty of penoscrotal web, release of suspensory ligament, and suprapubic fat liposuction.
Average functional penile length measured 3 months post-operatively had significantly increased by 18-30 mm (mean: 23 ± 4 mm) in the provoked, erect state. All patients had normally developed penile corpora cavernosa and wide circumference (mean: 11.7 ± 0.2 cm). No post-operative complications occurred in any of the patients. No patients had sexual partners or were sexually active.
The described technique of penile advancement and lengthening can be safely applied to patients with post-circumcision traumatic short penis.
报告在青少年行阴茎环切术后创伤性短阴茎患者中，行耻骨上脂肪抽吸、阴茎悬韧带切断和阴茎阴囊皮瓣 Z 成形术联合阴茎延长术的安全性。
本前瞻性研究纳入 9 例平均年龄为 15.6 ± 1.4 岁的男性患者。7 例患者因行阴茎环切术时龟头意外切断，2 例患者因行阴茎环切术时同时切断龟头和部分远端阴茎体而导致短阴茎。所有患者均在儿童期因阴茎覆盖而接受过阴茎皮肤推进术。在松弛状态下最大伸展和勃起状态下分别测量术前和术后的阴茎长度和周长。手术技术包括阴茎阴囊皮瓣 Z 成形术、悬韧带松解和耻骨上脂肪抽吸。
术后 3 个月时，诱发勃起状态下的有效阴茎长度平均增加了 18-30mm（平均值：23 ± 4mm）。所有患者的阴茎海绵体均发育正常，周长较宽（平均值：11.7 ± 0.2cm）。所有患者均未出现术后并发症。无患者有性伴侣或有性生活。
所描述的阴茎延长和推进技术可安全应用于行阴茎环切术后创伤性短阴茎的患者。
