Campbell Jeffrey, Gillis Joshua
Division of Urology, Western University, London, Ontario, Canada.
Division of Plastic Surgery, Dalhousie University, Halifax, Nova Scotia, Canada.
Transl Androl Urol. 2017 Feb;6(1):69-78. doi: 10.21037/tau.2016.11.19.
Penile elongation surgery is less commonly performed in the public sector, but involves a collaborative approach between urology and plastic surgery. Congenital and acquired micropenis are the classic surgical indications for penile elongation surgery. The goal of intervention in these patients is to restore a functional penis size in order to allow normal standing micturition, enable satisfying sexual intercourse and improve patient quality of life. Many men seeking elongation actually have normal length penises, but perceive themselves to be small, a psychologic condition termed 'penile dysmorphophobia'. This paper will review the anatomy and embryology of congenital micropenis and discuss both conservative and surgical management options for men seeking penile elongation therapy.
阴茎延长手术在公共部门较少进行,但需要泌尿外科和整形外科的协作。先天性和后天性小阴茎是阴茎延长手术的典型手术指征。对这些患者进行干预的目的是恢复阴茎的功能大小,以实现正常站立排尿、进行满意的性交并提高患者的生活质量。许多寻求阴茎延长的男性实际上阴茎长度正常,但自认为阴茎短小,这种心理状况被称为“阴茎畸形恐惧症”。本文将回顾先天性小阴茎的解剖学和胚胎学,并讨论寻求阴茎延长治疗的男性的保守和手术治疗选择。