AbouZeid Amr Abdelhamid, Soliman Mohamed Hisham
Pediatric Surgery Department, Faculty of Medicine, Ain-Shams University, Cairo, Egypt.
Pediatric Surgery Department, Faculty of Medicine, Ain-Shams University, Cairo, Egypt.
Urology. 2016 Dec;98:154-157. doi: 10.1016/j.urology.2016.06.032. Epub 2016 Jun 28.
To report our experience in the surgical management of a group of patients with varying degrees of hair-coil penile injury, while applying a more detailed grading scale for the severity of injury.
The study included 16 boys with hair-coil penile injury who were managed during the period 2010 through 2016. In the acute state, the constricting hair coil was removed under general anesthesia. The repair was planned 6 months later after the acute injury. In 1 case presenting with severe form (near total glanular amputation), the glans was resutured to the penile shaft immediately after removal of the hair coil; the urethroplasty was performed six months later.
The patients' age ranged from 2 to 17 years (mean 4.8 years). The urethroplasty was always covered by a protective layer, which was derived from the ventral dartos fascia in all but 1 case. In the latter, we used a tunica vaginalis flap for covering the urethroplasty. A successful outcome (regarding both urethral reconstruction and cosmesis) was achieved in all cases.
Hair-coil penile injury is an uncommon condition with insidious course. Unawareness of such condition can lead to progression to serious complications. Delayed and staged surgical repair is associated with successful outcome.
报告我们对一组不同程度毛发缠绕阴茎损伤患者进行手术治疗的经验，同时应用更详细的损伤严重程度分级量表。
该研究纳入了2010年至2016年期间接受治疗的16例毛发缠绕阴茎损伤男孩。在急性期，在全身麻醉下移除收紧的毛发线圈。急性损伤6个月后计划进行修复。1例表现为严重形式（近乎全龟头截肢）的患者，在移除毛发线圈后立即将龟头重新缝合到阴茎体；6个月后进行尿道成形术。
患者年龄在2至17岁之间（平均4.8岁）。尿道成形术总是覆盖有一层保护层，除1例患者外，所有患者的保护层均取自腹侧肉膜筋膜。在后一例患者中，我们使用睾丸鞘膜瓣覆盖尿道成形术。所有病例均取得了成功的结果（在尿道重建和美容方面）。
毛发缠绕阴茎损伤是一种病程隐匿的罕见病症。对这种病症缺乏认识可能导致进展为严重并发症。延迟和分期手术修复与成功结果相关。
