Moscardi Paulo R M, Gosalbez Rafael, Castellan Miguel Alfedo
Pediatric Urology, Children's Urology Associates, Miami, FL, United States.
Front Pediatr. 2017 Sep 4;5:189. doi: 10.3389/fped.2017.00189. eCollection 2017.
Penile curvature is a frequent feature associated with hypospadias with also a great variability of severity among each patient. While the low-grade curvature (<30°) can be relatively easily corrected by simple techniques like penile degloving and dorsal plication, severe cases often demand more complex maneuvers to manage it. A great number of surgical techniques have been developed to adequately correct curvatures greater than 30°; however, each one of them should be individualized to different patients and local conditions encountered. In this article, we will review the evaluation of the pediatric patient with penile curvature associated with hypospadias with a special attention to high-grade cases, their management, indications for surgical treatment, and several surgical options for their definitive treatment.
阴茎弯曲是尿道下裂的常见特征，而且每个患者的严重程度差异很大。虽然低度弯曲（<30°）可以通过诸如阴茎脱套和背侧折叠等简单技术相对容易地矫正，但严重病例往往需要更复杂的操作来处理。已经开发出大量手术技术来充分矫正大于30°的弯曲；然而，每种技术都应根据不同患者和所遇到的局部情况进行个体化处理。在本文中，我们将回顾伴有尿道下裂的阴茎弯曲小儿患者的评估，特别关注高度弯曲病例、其处理、手术治疗指征以及几种确定性治疗的手术选择。
