Sokolshchik M M, Kyzlasov P S, Martov A G, Kazhera A A, Bokov A I, Kulabukhova I A
A.I. Burnazyan SRC FMBC, FMBA of Russia, Moscow, Russia.
Department of Plastic Surgery of Peoples Friendship University of Russia, Moscow, Russia.
Urologiia. 2020 Dec(6):122-125.
Bladder exstrophy is a complex of urogenital malformations, varying in severity from epispadias to classical bladder exstrophy. The main aim of correcting bladder exstrophy in childhood is to achieve urine continence with the prevention of upper urinary tract disorders and to provide penile reconstruction. However, by the time of puberty, it is not always possible to achieve optimal anatomical features of the penis, and usually, by the end of puberty, the penile length is no more than 7 cm, which subsequently leads to psychosocial and sexual problems during puberty. Neither patient, nor urologist in most cases do not satisfy final result of the treatment of exstrophy and a number of epispadias forms. A clinical case of the surgical rehabilitation of a patient after undergoing multi-stage surgical treatment for a congenital malformation of the genitourinary system is presented in the article. MATERIALS AND METHODS: At the admission, the size of the penis was 3 cm (microfallia), urethral meatus was located in the area of the penoscrotal junction. From 2016 to 2019, the patient underwent neofallos formation, urethroplasty, and implantation of prostheses in the neophallos. RESULTS: According to the results, urinary and sexual function was completely restored, as well as anatomical relationships and dimensional parameters of the genitals.
膀胱外翻是一种泌尿生殖系统畸形的综合征，严重程度从尿道上裂到典型的膀胱外翻不等。儿童期矫正膀胱外翻的主要目的是实现尿失禁，预防上尿路疾病，并进行阴茎重建。然而，到青春期时，并不总是能够实现阴茎的最佳解剖特征，通常在青春期结束时，阴茎长度不超过7厘米，这随后会导致青春期的心理社会和性问题。在大多数情况下，患者和泌尿科医生对膀胱外翻及一些尿道上裂形式的治疗最终结果都不满意。本文介绍了一例因先天性泌尿生殖系统畸形接受多阶段手术治疗后患者的手术康复临床病例。材料与方法：入院时，阴茎大小为3厘米（小阴茎），尿道口位于阴茎阴囊交界处。2016年至2019年，该患者接受了新阴茎形成、尿道成形术以及在新阴茎中植入假体。结果：根据结果，排尿和性功能完全恢复，生殖器的解剖关系和尺寸参数也恢复正常。
