Department of Pediatric Surgery, Fujian Maternity and Child Health Hospital, College of Clinical Medicine for Obstetrics & Gynecology and Pediatrics, Fujian Medical University, Fuzhou 350001, China.
Central Sterile Supply Department, Fujian Provincial Hospital South Branch, Fuzhou 350001, China.
Asian J Androl. 2023 Jan-Feb;25(1):78-81. doi: 10.4103/aja20224.
For many years, surgical treatment of buried penis in children has been researched by several scholars, and numerous methods exist. This study aimed to explore the clinical effect of a modified fixation technique in treating buried penis in children. Clinical data of 94 patients with buried penis who were treated using the modified penile fixation technique from March 2017 to February 2019 in Fujian Maternity and Child Health Hospital (Fuzhou, China) were retrospectively collected, compared, and analyzed. Clinical data of 107 patients with buried penis who were treated using traditional penile fixation technique from February 2014 to February 2017 were chosen for comparison. The results showed that at 6 months and 12 months after surgery, the penile lengths in the modified penile fixation group were longer than those in the traditional penile fixation group (both P < 0.05). The incidence of postoperative skin contracture and penile retraction in the modified penile fixation group was less than that in the traditional penile fixation group (P = 0.034 and P = 0.012, respectively). When the two groups were compared in terms of parents' satisfaction scores, the scores for penile size, penile morphology, and voiding status in the modified penile fixation group were higher than those in the traditional penile fixation group at 2-week, 6-month, and 12-month follow-ups after surgery (all P < 0.05). We concluded that the modified penile fixation technique could effectively reduce the incidence of skin contracture and penile retraction and improve the penile length and satisfaction of patients' parents.
多年来，多位学者对儿童埋藏阴茎的手术治疗进行了研究，存在多种方法。本研究旨在探讨改良阴茎固定术治疗儿童埋藏阴茎的临床效果。回顾性收集 2017 年 3 月至 2019 年 2 月在福建妇幼保健院（福州）采用改良阴茎固定术治疗的 94 例埋藏阴茎患儿的临床资料，并与 2014 年 2 月至 2017 年 2 月采用传统阴茎固定术治疗的 107 例埋藏阴茎患儿的临床资料进行比较和分析。结果显示，术后 6 个月和 12 个月，改良阴茎固定组阴茎长度均长于传统阴茎固定组（均 P<0.05）。改良阴茎固定组术后皮肤挛缩和阴茎回缩的发生率低于传统阴茎固定组（P=0.034 和 P=0.012）。当比较两组患儿家长满意度评分时，改良阴茎固定组在术后 2 周、6 个月和 12 个月随访时，在阴茎大小、阴茎形态和排尿状况方面的评分均高于传统阴茎固定组（均 P<0.05）。结论表明，改良阴茎固定术可有效降低皮肤挛缩和阴茎回缩的发生率，改善阴茎长度和患儿家长满意度。
