Xu Xiao-Wen, Xu Yao-Ting, Shen Zhi-Jie, Li Du-Jian, Gu Wei, Huang Ru-Qiang
Department of Urology, Branch of Shanghai First People's Hospital, Shanghai 200081, China.
Zhonghua Nan Ke Xue. 2011 Jul;17(7):625-7.
To investigate the clinical effect of Devine's technique with free skin grafting in the treatment of concealed penis with prepuce deficit.
This study included 7 children with concealed penis, aged 6 - 15 (mean 8.6) years, 6 of them treated by circumcision previously. All the patients underwent Devine's operation to resect the inelasticity sarcolemma and lengthen the penis. The length of prepuce deficit ranged from 2 to 4 cm. Intermediate split thickness skin grafts of the corresponding length were taken from the femoribus internus to wrap up the tunica albuginea penis, followed by the procedures of saturation, encapsulation and fixation.
Surgery time ranged from 70 to 120 minutes, averaging 90.5 minutes. The penis was prolonged about 2 - 4 cm after surgery. A 6-month follow-up revealed desirable penile appearance and normal penile erection.
Devine's technique with free skin grafting from the femoribus internus is an ideal treatment for concealed penis with prepuce deficit.
探讨Devine术式联合游离植皮治疗包皮缺损型隐匿阴茎的临床效果。
本研究纳入7例隐匿阴茎患儿，年龄6 - 15岁（平均8.6岁），其中6例曾行包皮环切术。所有患者均接受Devine手术，切除无弹性的肉膜并延长阴茎。包皮缺损长度为2至4厘米。取相应长度的中厚断层皮片自股内侧用于包裹阴茎白膜，随后进行覆盖、包裹及固定操作。
手术时间为70至120分钟，平均90.5分钟。术后阴茎延长约2 - 4厘米。6个月随访显示阴茎外观良好，勃起正常。
Devine术式联合股内侧游离植皮是治疗包皮缺损型隐匿阴茎的理想方法。
