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尿道上裂整形术

Orthoplasty in epispadias.

作者信息

Brzezinski A E, Homsy Y L, Laberge I

出版信息

J Urol. 1986 Jul;136(1 Pt 2):259-61. doi: 10.1016/s0022-5347(17)44833-6.

DOI:10.1016/s0022-5347(17)44833-6
PMID:3522939
Abstract

Orthoplasty (a term used in Europe to refer to chordee excision and penile straightening) in patients with epispadias has provided less than ideal results in the past. We propose a sequential stepwise approach for the assessment and correction of the corporeal deformity, incorporating dermal grafts on the dorsal aspect of the corpora cavernosa when necessary to achieve functional penile lengthening and straightening. Success, defined as significant improvement in functional penile length, a penis that dangles at 45 degrees below the horizontal and over-all improvement in cosmetic result, was achieved in 7 of 8 patients.

摘要

过去,阴茎成形术(欧洲用于指称尿道下裂切除及阴茎伸直的术语)应用于尿道上裂患者时,效果并不理想。我们提出一种用于评估和矫正阴茎体畸形的分步方法,必要时在阴茎海绵体背侧植入真皮移植物,以实现功能性阴茎延长和伸直。8例患者中有7例取得成功,成功定义为功能性阴茎长度显著改善、阴茎在水平线下45度自然下垂,以及外观效果整体改善。

相似文献

1
Orthoplasty in epispadias.尿道上裂整形术
J Urol. 1986 Jul;136(1 Pt 2):259-61. doi: 10.1016/s0022-5347(17)44833-6.
2
A novel approach to skin coverage for epispadias repair.一种用于尿道上裂修复的皮肤覆盖新方法。
J Urol. 2005 Apr;173(4):1332-3. doi: 10.1097/01.ju.0000156557.20242.11.
3
The management of erectile deformity in adults with exstrophy and epispadias.成人膀胱外翻和尿道上裂患者勃起功能障碍的管理
J Urol. 1986 May;135(5):932-5. doi: 10.1016/s0022-5347(17)45927-1.
4
Long-term followup of cosmetic appearance and genital function in male epispadias: review of 70 patients.男性尿道上裂患者外观及生殖功能的长期随访:70例患者回顾
J Urol. 1986 Mar;135(3):543-7. doi: 10.1016/s0022-5347(17)45731-4.
5
Outcome of penile lengthening of adolescents and young adults born with bladder exstrophy and epispadias.患有膀胱外翻和尿道下裂的青少年和年轻男性行阴茎延长术的疗效。
J Pediatr Urol. 2021 Jun;17(3):394.e1-394.e6. doi: 10.1016/j.jpurol.2021.01.036. Epub 2021 Feb 3.
6
Penile lengthening after previous repair of epispadias.既往尿道上裂修复术后阴茎延长术
J Urol. 1979 Apr;121(4):527-34. doi: 10.1016/s0022-5347(17)56856-1.
7
Treatment for failed epispadias repair presenting in adults.成人失败性尿道上裂修复术后的治疗。
J Urol. 2013 Jul;190(1):165-70. doi: 10.1016/j.juro.2013.01.027. Epub 2013 Jan 16.
8
Utility of Skin Grafting and Tissue Expansion in Penile Reconstruction for the Exstrophy-Epispadias Complex.皮片移植和组织扩张在膀胱外翻-尿道上裂综合征阴茎重建中的应用
Urology. 2020 Feb;136:231-237. doi: 10.1016/j.urology.2019.10.017. Epub 2019 Nov 12.
9
Cantwell-Ransley epispadias repair in male epispadias and bladder exstrophy.
J Urol. 1994 Feb;151(2):457-9. doi: 10.1016/s0022-5347(17)34989-3.
10
Bilateral rhomboid flaps for reconstruction of the external genitalia in epispadias-exstrophy.
Plast Reconstr Surg. 1986 Apr;77(4):621-31. doi: 10.1097/00006534-198604000-00019.

引用本文的文献

1
Contemporary issues relating to transitional care in bladder exstrophy.膀胱外翻患者过渡性护理的当代问题
Can Urol Assoc J. 2018 Apr;12(4 Suppl 1):S15-S23. doi: 10.5489/cuaj.5313.