Rami Mohamed, Bakkaly Achraf El, Bouljrouf Jaouad, Lafia Toualouth, Bouhafs Mohammed Amine, Belkacem Rachid
Service de Chirurgie Urologique Pédiatrique C, Hôpital d'Enfants, CHU Avicenne, Faculté de Médecine, Université Mohammed V, Rabat, Maroc.
Service des Urgences Chirurgicales Pédiatriques, Hôpital d'Enfants, CHU Avicenne, Faculté de Médecine, Université Mohammed V, Rabat, Maroc.
Pan Afr Med J. 2017 Dec 6;28:296. doi: 10.11604/pamj.2017.28.296.13864. eCollection 2017.
Congenital buried penis in the child is a congenital malformation where the penis appears small in size while all the parts of the organ are normal (the urethra, the erectile tissue and the glans penis). Our study aimed to describe our experience in the surgical treatment of this abnormality. We report the case of a 18-months old infant with bilateral hydrocele initially admitted to the Emergency Department and then referred to our Department. Clinical examination showed buried penis with tight foreskin and a dilation of the preputial reservoir due to urine. Surgical procedure included several steps: Z-shaped incision, pulling back of the foreskin of the penis, release of the adhesions surrounding the corpus cavernosum and ventral penile skin coverage using bladder catheter kept for a week to protect the wound healing. Aesthetic and functional result was satisfactory after 1-year follow-up. Congenital buried penis is a very debated subject in the literature. Our technique was simple and easily reproducible. Voiding difficulties and urinary infection are the main indications of this surgical procedure.
儿童先天性埋藏阴茎是一种先天性畸形，阴茎外观短小，但器官各部分正常（尿道、勃起组织和阴茎头）。我们的研究旨在描述我们在这种异常情况手术治疗方面的经验。我们报告一例18个月大的双侧鞘膜积液婴儿，最初入住急诊科，随后转诊至我们科室。临床检查显示埋藏阴茎、包皮紧以及因尿液导致的包皮腔扩张。手术步骤包括：Z形切口、阴茎包皮后拉、阴茎海绵体周围粘连松解以及使用膀胱导管进行阴茎腹侧皮肤覆盖，保留一周以保护伤口愈合。1年随访后，美学和功能结果令人满意。先天性埋藏阴茎在文献中是一个备受争议的主题。我们的技术简单且易于重复。排尿困难和泌尿系统感染是该手术的主要指征。
