耻骨上吸脂联合改良迪瓦恩手术治疗成人获得性埋藏阴茎

[Treatment of adult-acquired buried penis with suprapubic liposuction combined with modified Devine operation].

作者信息

He H L, Li Q, Xu T, Zhang X W

机构信息

Department of Urology, Peking University People's Hospital, Beijing 100044, China.

出版信息

Beijing Da Xue Xue Bao Yi Xue Ban. 2022 Aug 18;54(4):741-745. doi: 10.19723/j.issn.1671-167X.2022.04.025.

DOI:10.19723/j.issn.1671-167X.2022.04.025

PMID:35950401

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9385533/

Abstract

OBJECTIVE

To evaluate the safety and efficacy of suprapubic liposuction combined with modified Devine surgery in adult patients with concealed penis caused by obesity.

METHODS

The clinical data of 26 adult patients with buried penis admitted to the Department of Urology of Peking University People' s Hospital and the Department of Surgery of Beijing Eden Hospital from September 2017 to June 2020 were analyzed retrospectively. The average age of the patients was (33.0 ± 5.7) years, the average body mass index (BMI) was (29.0±5.4) kg/m, and the penis length in the supine position was (2.9±1.3) cm. All the patients were treated with suprapubic liposuction combined with modified Devine operation. The improvement of penis length and complications were statistically analyzed after operation, and the satisfaction of the patients was followed up, 1 = dissatisfied; 2 = basically satisfied; 3 = satisfied; 4 = very satisfied. The measurement data were expressed in (mean±SD), nonparametric Friedman tests and multiplex analysis methods were used for data comparison.

RESULTS

The average liposuction volume of the 26 patients was (450.0±90.2) mL. Immediately after operation: the penis length was (7.4±2.1) cm, increased by (4.5±1.6) cm compared with that before operation; three months after operation: the penis length was (5.3±1.8) cm, increased by (2.4±0.7) cm compared with that before operation. There was significant difference in penis length before operation, immediately after operation and three months after operation ( < 0.01). All the patients had no sexual intercourse disorder or dysuria. Postoperative edema occurred in 11 cases (42.3%), ecchymosis in 7 cases (26.9%), poor healing of prepuce wound in 2 cases (7.8%), hematoma in 1 case (3.8%), 5 cases (19.2%) without postoperative complications, and no patient had wound infection. Seventeen patients (65.4%) were very satisfied with the appearance and function of the penis, 6 patients (23.1%) were satisfied, 3 patients (11.5%) were basically satisfied, and no patients were dissatisfied. The average score of all the patients' satisfaction with postoperative penis appearance and function was (3.5±0.7).

CONCLUSION

Suprapubic liposuction combined with modified Devine operation is safe and effective in the treatment of adult-acquired buried penis.

摘要

目的

评估耻骨上吸脂联合改良Devine手术治疗肥胖所致成人隐匿阴茎的安全性和有效性。

方法

回顾性分析2017年9月至2020年6月北京大学人民医院泌尿外科及北京伊顿医院外科收治的26例成人埋藏阴茎患者的临床资料。患者平均年龄为（33.0±5.7）岁，平均体重指数（BMI）为（29.0±5.4）kg/m²，仰卧位阴茎长度为（2.9±1.3）cm。所有患者均接受耻骨上吸脂联合改良Devine手术治疗。术后对阴茎长度改善情况及并发症进行统计学分析，并对患者满意度进行随访，1=不满意；2=基本满意；3=满意；4=非常满意。计量资料以（均数±标准差）表示，采用非参数Friedman检验及多重分析方法进行数据比较。

结果

26例患者平均吸脂量为（450.0±90.2）mL。术后即刻：阴茎长度为（7.4±2.1）cm，较术前增加（4.5±1.6）cm；术后3个月：阴茎长度为（5.3±1.8）cm，较术前增加（2.4±0.7）cm。术前、术后即刻及术后3个月阴茎长度差异有统计学意义（P<0.01）。所有患者均无性交障碍或排尿困难。术后11例（42.3%）出现水肿，7例（26.9%）出现瘀斑，2例（7.8%）包皮伤口愈合不良，1例（3.8%）出现血肿，5例（19.2%）无术后并发症，无患者发生伤口感染。17例（65.4%）患者对阴茎外观及功能非常满意，6例（23.1%）满意，3例（11.5%）基本满意，无患者不满意。所有患者对术后阴茎外观及功能满意度的平均评分为（3.5±0.7）分。