Lei Hongen, Han Hu, Ma Tiepeng, Tian Long
Department of Urology, Beijing Chao-Yang Hospital, Capital Medical University, Institute of Urology, Capital Medical University, Beijing 100020, China.
Department of Hand Surgery, the Second Hospital of Tangshan, Tangshan 063000, China.
Transl Androl Urol. 2020 Apr;9(2):776-780. doi: 10.21037/tau.2019.12.12.
Penile amputation is a rare deformity mostly resulting from self-mutilation, felonious assault, or accidental trauma, and penile reconstruction or phalloplasty is necessary when microreplantation cannot be performed. Here we report a rare case of a 42-year-old man with traumatic penile amputation and describe surgical techniques for partial penile reconstruction by using a novel innervated and vascularized radial thenar flap free grafting method. Excellent cosmetic and functional results were reported with no severe complications of dysuria, urethral stricture, and urinary fistula were observed during the 23 months of postoperative follow-up time. It is believed that innervated and vascularized radial thenar flap free grafting is an acceptable treatment option for patients with traumatic penile amputation.
阴茎离断是一种罕见的畸形，主要由自残、故意伤害或意外创伤导致，当无法进行显微再植时，阴茎重建或阴茎成形术是必要的。在此，我们报告一例42岁男性创伤性阴茎离断的罕见病例，并描述了一种使用新型带神经血管的桡侧鱼际皮瓣游离移植方法进行部分阴茎重建的手术技术。术后随访23个月期间，报告了良好的美容和功能效果，未观察到排尿困难、尿道狭窄和尿瘘等严重并发症。据信，带神经血管的桡侧鱼际皮瓣游离移植是创伤性阴茎离断患者可接受的治疗选择。
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