Murakami Hiroshi, Yazaki Yuta, Seo Shogo, Ochi Takanori, Okawada Manabu, Doi Takashi, Miyano Go, Koga Hiroyuki, Lane Geoffrey J, Ochiai Takumi, Yamataka Atsuyuki
Department of Pediatric General and Urogenital Surgery, Juntendo University School of Medicine, 2-1-1 Hongo, Bunkyo-ku, Tokyo, 113-8421, Japan.
Pediatr Surg Int. 2015 Jan;31(1):89-92. doi: 10.1007/s00383-014-3627-2. Epub 2014 Oct 16.
There are few reports about postoperative outcome of penoplasty (PP). We present the results of mid- to long-term follow-up of PP performed for congenital megaprepuce (CMP).
Data from 65 CMP cases treated by PP performed by a single surgeon from 2000 to 2014 were collected prospectively. All cases were treated using the technique reported by Cuckow (Pediatric surgery. Springer, Berlin, pp 543-554, 2006).
Mean age at PP was 5.9 years (range 0.4-13.9). All cases presented as infants and some 12 cases (18.5 %) had PP when 10 or more years old. There were no intra- and postoperative complications. Mean duration of follow-up was 3.6 years (range 0.1-17.5). Duration of follow-up was 4 years or less in 48 (73.8 %), 5-9 years in 13 (20.0 %), and 10 or more years in 4 (6.2 %). While postoperative penile cosmesis was good in 63/65 (96.9 %) cases without scrotal deformity, 2/65 (3.1 %) had redundant penile skin excised upon the recommendation of the treating surgeon even though the patients and parents were unconcerned.
Mid- to long-term follow-up of our PP cases shows that outcome is cosmetically acceptable and stable.
关于阴茎成形术（PP）术后结果的报道较少。我们展示了针对先天性巨包皮（CMP）进行PP的中长期随访结果。
前瞻性收集了2000年至2014年由一名外科医生进行PP治疗的65例CMP病例的数据。所有病例均采用Cuckow报道的技术进行治疗（《小儿外科》。施普林格出版社，柏林，第543 - 554页，2006年）。
PP时的平均年龄为5.9岁（范围0.4 - 13.9岁）。所有病例均为婴儿期发病，约12例（18.5%）在10岁及以上时进行了PP。无术中及术后并发症。平均随访时间为3.6年（范围0.1 - 17.5年）。随访时间4年及以下的有48例（73.8%），5 - 9年的有13例（20.0%），10年及以上的有4例（6.2%）。63/65（96.9%）例无阴囊畸形的病例术后阴茎美容效果良好，2/65（3.1%）例虽患者及家长无顾虑，但经主治医生建议切除了多余的阴茎皮肤。
我们对PP病例的中长期随访表明，结果在美容方面是可接受且稳定的。
