Sislow J G, Ireton R C, Ansell J S
Department of Urology, University of Washington, Seattle.
J Urol. 1989 Jan;141(1):92-3. doi: 10.1016/s0022-5347(17)40601-x.
Treatment of pure congenital penile curvature due solely to asymmetry of the corpora cavernosa as described by Nesbit lacks precision. Intraoperative verification of Nesbit correction by artificial erection after wedge excision may be impossible because leakage through the sutured corporeal incisions prevents full erection. We present a rule of thumb to calculate the number of 1 cm. wedges of tunica albuginea to be excised to correct an individual deformity. The number of such wedges required is equal to the measured difference in centimeters between the lengths of the asymmetric, concave and convex surfaces of the affected penis, between the pubis and mid glans. Results of application of this principle in 6 patients are presented.
如Nesbit所描述的，单纯由于海绵体不对称引起的先天性阴茎弯曲的治疗缺乏精确性。楔形切除术后通过人工勃起对Nesbit矫正进行术中验证可能无法实现，因为缝合的海绵体切口渗漏会妨碍完全勃起。我们提出了一个经验法则，用于计算为矫正个体畸形而需切除的白膜1厘米楔形块的数量。所需此类楔形块的数量等于受影响阴茎不对称的凹面和凸面在耻骨和龟头中部之间长度的厘米测量差值。本文介绍了该原则在6例患者中的应用结果。
