Li Yuan, Zhu Xiaoyu, Feng Dongchuan, Gong Jinchao, Sun Guangyao, Zhang Xilun, Hu Dianhe, Sha Suoyou, Han Tao
Department of Urology Surgery, The Affiliated Xuzhou Children's Hospital of Xuzhou Medical University, Xuzhou, China.
Front Pediatr. 2020 Sep 11;8:551. doi: 10.3389/fped.2020.00551. eCollection 2020.
To compare a novel modified W-incision scrotoplasty (MWS) operation method with the conventional V-Y scrotoplasty for treatment of severe penoscrotal webbing (PSW) in children a retrospective study was conducted on 26 children. Circumcision combined with modified scrotoplasty was used to repair the webbed penis and phimosis of children and another 32 patients undergoing V-Y scrotoplasty served as the control group. There was a statistically significant difference of angle improvements of penis and scrotum in a horizontal position (-66 ± 10; -57 ± 6, < 0.001) and the parent satisfaction score (Five Likert Scale) (4.7 ± 0.56; 3.8 ± 0.47, < 0.001) between the two groups. All 26 children who underwent MWS presented with no serious postoperative complications, and there was no significant difference in surgical complications compared to children treated with V-Y scrotoplasty.
为了比较一种新型改良W形阴囊成形术（MWS）手术方法与传统V-Y阴囊成形术治疗儿童重度阴茎阴囊融合（PSW）的效果，对26例儿童进行了一项回顾性研究。采用包皮环切术联合改良阴囊成形术修复儿童蹼状阴茎和包茎，另外32例行V-Y阴囊成形术的患者作为对照组。两组在阴茎和阴囊水平位置角度改善（-66±10；-57±6，<0.001）以及家长满意度评分（五级李克特量表）（4.7±0.56；3.8±0.47，<0.001）方面存在统计学显著差异。所有接受MWS的26例儿童均未出现严重术后并发症，与接受V-Y阴囊成形术治疗的儿童相比，手术并发症无显著差异。
