Yin Wei-Qi, Wang Guo-Yao, Wu Ke-Rong
Center of Urology and Nephrology, Ningbo First Hospital / Ningbo Hospital of Zhejiang University, Ningbo, Zhejiang 315000, China .
Zhonghua Nan Ke Xue. 2019 Oct;25(10):901-904.
To investigate the advantage of a new procedure of penoplasty by T-shaped incision and three-point fixation (TSI+TPF) in reducing postoperative preputial edema in the treatment of concealed penis.
We retrospectively analyzed 244 cases of concealed penis treated in our center between June 2014 and June 2017, 185 by TSI+TPF penoplasty and the other 59 by modified Devine surgery (MDS). We compared the incidence of postoperative preputial edema between the two groups of patients.
The incidence rate of preputial edema was obviously lower in the TSI+TPF penoplasty than in the MDS group at 2 (28.1% vs 33.9%) and 4 weeks after surgery (11.4% vs 20.3%), though with no statistically significant difference, and that of moderate to severe edema was significantly lower in the former than in the latter at 4 weeks (1.1% vs 6.8%, P < 0.05). And no long-term residual edema was observed after TSI+TPF penoplasty.
Penoplasty by T-shaped incision and three-point fixation can effectively reduce the incidence of postoperative preputial edema, especially that of moderate to severe edema, in the treatment of concealed penis.
探讨采用T形切口三点固定阴茎成形术（TSI+TPF）治疗隐匿阴茎在减轻术后包皮水肿方面的优势。
回顾性分析2014年6月至2017年6月在本中心治疗的244例隐匿阴茎患者，其中185例行TSI+TPF阴茎成形术，另外59例行改良Devine手术（MDS）。比较两组患者术后包皮水肿的发生率。
TSI+TPF阴茎成形术组术后2周（28.1%对33.9%）和4周（11.4%对20.3%）包皮水肿发生率明显低于MDS组，虽无统计学差异，且4周时前者中重度水肿发生率显著低于后者（1.1%对6.8%，P<0.05）。TSI+TPF阴茎成形术后未观察到长期残留水肿。
T形切口三点固定阴茎成形术在治疗隐匿阴茎时可有效降低术后包皮水肿发生率，尤其是中重度水肿的发生率。
