Jing Peng, Zou Jiaqiong, Zhao Dan, Yang Jinfeng, Feng Songlin, Wang Cheng
Department of Pediatric Surgery, Affiliated Hospital of North Sichuan Medical College, Nanchong Sichuan, 637000, P.R.China.
Department of Clinical Laboratory, the First Affiliated Hospital of Chengdu Medical College, Chengdu Sichuan, 610500, P.R.China.
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2020 Apr 15;34(4):505-508. doi: 10.7507/1002-1892.201909106.
To investigate the effectiveness of concealed penis correction surgery based on the principle of midline symmetry.
Between January 2016 and September 2018, 18 children with concealed penis were treated with correction surgery based on the principle of midline symmetry. All children were 3-12 years old, with an average age of 8.3 years. Physical examination showed that the penis was short; the penis body could not be exposed or be exposed too limited; the corpus cavernosum developed well. The pressure dressing was removed at 3 days after operation and the urethral tube was removed. The color of the glans, the swelling and congestion of penis and scrotum, and the blood supple of the prepuce flap were observed.
The operation time ranged from 47 to 54 minutes, with an average of 50 minutes. All children were followed up 3 months after operation. There was no hemorrhage and necrosis of the glans and no infection or ischemic necrosis of the flap. All patients had different degree of prepuce edema at 3 days after operation, 5 patients still had prepuce edema at 2 weeks, and the prepuce edema in all patients subsided at 3 months. All penises were exposed well after midline symmetric anastomosis with no bulky prepuce and scrotum.
The correction surgery based on the principle of midline symmetry can be used to correct the appearance of the concealed penis effectively.
探讨基于中线对称原则的隐匿阴茎矫正手术的有效性。
2016年1月至2018年9月，对18例隐匿阴茎患儿采用基于中线对称原则的矫正手术进行治疗。所有患儿年龄3 - 12岁，平均年龄8.3岁。体格检查显示阴茎短小；阴茎体不能外露或外露受限；海绵体发育良好。术后3天拆除加压包扎，拔除尿道管。观察龟头颜色、阴茎及阴囊的肿胀充血情况以及包皮瓣的血运情况。
手术时间为47至54分钟，平均50分钟。所有患儿术后3个月进行随访。龟头无出血坏死，皮瓣无感染及缺血坏死。术后3天所有患者均有不同程度的包皮水肿，2周时5例患者仍有包皮水肿，所有患者包皮水肿在3个月时消退。经中线对称吻合后所有阴茎均外露良好，无包皮及阴囊臃肿。
基于中线对称原则的矫正手术可有效矫正隐匿阴茎外观。
