Heston Aaron L, Esmonde Nick O, Dugi Daniel D, Berli Jens Urs
Division of Plastic and Reconstructive Surgery, Oregon Health & Science University, Portland, Oregon, USA.
Division of Urology, Oregon Health & Science University, Portland, Oregon, USA.
Transl Androl Urol. 2019 Jun;8(3):254-265. doi: 10.21037/tau.2019.05.05.
Phalloplasty is an exceptionally complicated reconstructive procedure that attempts to create a structure that is penis-like. As patient goals vary widely, it is helpful to think about phalloplasty as a modular set of procedures that can be combined, mixed and matched to meet the needs of each individual patient while also taking into account their anatomy. Each module-but particularly the shaft and penile urethra-can be performed using a variety of techniques. To date, there is no consensus among surgeons regarding the optimum staging of the reconstructive steps. Our primary goal is to outline the most frequently performed and reported options in phallic reconstruction and outline the various considerations that go into choosing a given sequence of procedures for the specific patient. The secondary goal of this article is to describe the complications common to each of those modules and how they interact when combined.
阴茎成形术是一种极其复杂的重建手术，旨在构建一个类似阴茎的结构。由于患者的目标差异很大，将阴茎成形术视为一组模块化手术会很有帮助，这些手术可以组合、混合和搭配，以满足每个患者的需求，同时还要考虑他们的解剖结构。每个模块——尤其是阴茎体和阴茎尿道——都可以使用多种技术来进行。迄今为止，外科医生对于重建步骤的最佳分期尚未达成共识。我们的主要目标是概述阴茎重建中最常实施和报道的手术选择，并概述为特定患者选择特定手术顺序时需要考虑的各种因素。本文的次要目标是描述每个模块常见的并发症以及它们在组合时的相互作用。
