环形筋膜切开术作为包皮环切术的辅助技术：是否可以通过增加阴茎尺寸来矫正包茎？
Circumferential dissection of deep fascia as ancillary technique in circumcision: is it possible to correct phimosis increasing penis size?
机构信息
Clinica Nostra Signora di Lourdes, Somma, Italy.
Multidisciplinary Department of Medical Surgical and Dental Sciences - Plastic Surgery Unit, Università degli Studi della Campania "Luigi Vanvitelli", Caserta, Italy.
出版信息
BMC Urol. 2021 Feb 3;21(1):15. doi: 10.1186/s12894-021-00782-y.
BACKGROUND
Phimosis is the inability to retract the preputium downward over the glans penis. Despite the various techniques of preputial plasty described in literature, the most performed surgical treatment is still the conventional circumcision.
METHODS
In this paper we retrospectively reviewed data of a homogeneous population of 36 consecutive adult patients who underwent phimosis correction by circumcsion with dissection of the Deep Fascia. Patients were followed up by one independent plastic surgeon that measured penis length and circumference in nonerected state preoperatively and at 6 month time postoperatively.
RESULTS
The Wilcoxon Signed Rank Test showed a significant (p < 0.0001) difference between the two groups both in terms of length and circumference.
CONCLUSIONS
In conclusion, the ancillary technique we described leads to an increase of penis size, is safe and easy to perform and does not increase significantly operative time nor complication rate to the conventional procedure.
背景
包茎是指无法将包皮向下拉过龟头。尽管文献中描述了各种包皮整形技术，但最常进行的手术治疗仍然是传统的包皮环切术。
方法
本文回顾性分析了 36 例连续成年患者的资料，这些患者均通过切开深筋膜行包皮环切术来矫正包茎。由一位独立的整形外科医生对患者进行随访，术前和术后 6 个月测量非勃起状态下的阴茎长度和周长。
结果
Wilcoxon 符号秩检验显示两组在长度和周长方面均有显著差异（p<0.0001）。
结论
综上所述，我们描述的辅助技术可增加阴茎大小，安全且易于操作，并且不会显著增加手术时间或增加常规手术的并发症发生率。
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