采用网状中厚皮片移植治疗成人隐匿阴茎
Management of adult concealed penis using a meshed, split-thickness skin graft.
作者信息
Boonjindasup Aaron, Pinsky Michael, Stewart Carrie, Trost Landon, Chaffin Abigail, Jansen David, Hellstrom Wayne
机构信息
Department of Urology, Tulane University School of Medicine, New Orleans, LA, United States.
Department of Urology, Tulane University School of Medicine, New Orleans, LA, United States; Department of Urology, Mayo Clinic, Rochester, MN, United States.
出版信息
Can Urol Assoc J. 2016 Nov-Dec;10(11-12):E407-E411. doi: 10.5489/cuaj.3787. Epub 2016 Nov 10.
INTRODUCTION
Concealed penis (CP) is a rare problem faced by urologists and plastic surgeons. CP occurs secondary to trauma, obesity, or infection. Surgical treatment is individualized and based on patient and provider variables. We aim to review our recent experience using meshed split-thickness skin grafting (STSG) for CP management.
METHODS
A retrospective review was performed on patients who underwent STSG for CP at our institution. Records were reviewed for demographic, operative, and postoperative variables. Preoperative and postoperative photos were obtained to monitor cosmetic results.
RESULTS
Eleven patients underwent CP release with meshed STSG placement. All cases showed improved functional phallic length and good cosmetic results, regardless of etiology.
CONCLUSIONS
STSG is a viable option for penile coverage for management of this difficult-to-treat CP population. This primary or salvage modality offers excellent cosmetic results and may be used following prior reconstructive attempts.
引言
隐匿阴茎（CP）是泌尿外科医生和整形外科医生面临的一个罕见问题。隐匿阴茎继发于创伤、肥胖或感染。手术治疗是个体化的，基于患者和医疗服务提供者的变量。我们旨在回顾我们最近使用网状中厚皮片移植（STSG）治疗隐匿阴茎的经验。
方法
对在我们机构接受STSG治疗隐匿阴茎的患者进行回顾性研究。审查记录中的人口统计学、手术和术后变量。获取术前和术后照片以监测美容效果。
结果
11例患者接受了隐匿阴茎松解并放置网状STSG。所有病例无论病因如何，阴茎功能长度均有所改善，美容效果良好。
结论
对于这一难以治疗的隐匿阴茎人群，STSG是阴茎覆盖的一种可行选择。这种主要或挽救性方式可提供出色的美容效果，并且可在先前的重建尝试后使用。
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