Ricketts Sophie, Hunter-Smith David James, Coombs Christopher John
Royal Children's Hospital, Melbourne, Victoria, Australia.
ANZ J Surg. 2011 Jan;81(1-2):52-5. doi: 10.1111/j.1445-2197.2010.05482.x. Epub 2010 Sep 16.
Patients who have undergone reconstruction of bladder extrophy can have an extremely short penis, which can be functionally and psychologically debilitating. Penile reconstruction with the radial forearm free flap has the potential to provide these patients with improved genital appearance and sexual function. Quality of life after penile reconstruction is an important outcome measure in evaluation of the procedure.
We describe five patients who underwent total penile reconstruction with radial forearm free flaps and interview them with a quality of life questionnaire.
Responses were overwhelmingly positive with regard to improved self-image as well as sexual function.
This series supports the overwhelmingly positive change in quality of life to be gained with radial forearm free flap penile reconstruction for patients with an extremely short native penis in the adult exstrophy patient.
膀胱外翻重建术后的患者可能阴茎极短，这在功能和心理上都会造成损害。采用游离桡骨前臂皮瓣进行阴茎重建有可能改善这些患者的生殖器外观和性功能。阴茎重建后的生活质量是评估该手术的一项重要结果指标。
我们描述了5例采用游离桡骨前臂皮瓣进行全阴茎重建的患者，并通过生活质量问卷对他们进行了访谈。
患者对于自我形象和性功能的改善反应总体呈积极态度。
该系列研究支持了游离桡骨前臂皮瓣阴茎重建术能为成年膀胱外翻患者中天然阴茎极短的患者带来生活质量的显著积极改变。
