Horton C E, Vorstman B, Teasley D, Winslow B
Department of Plastic Surgery, Eastern Virginia Medical School, Norfolk.
Ann Plast Surg. 1987 Aug;19(2):131-4. doi: 10.1097/00000637-198708000-00004.
We believe the hidden penis may be caused and concealed by a prominent suprapubic fat pad in addition to the restrictive fibrous bands of the dartos fascia fixing the shaft of the penis proximally while loose skin folds prolapse distally over the phallus. A penis of inadequate length or appearance may affect body image. Patients with this problem often require psychological support. Hidden penis may be distinguished from micropenis by palpating adequate corpora and showing a stretched penile length within 2 SD of normal. Excision of suprapubic fat with sectioning of the tethering dartos bands will release and increase the length of the penis. Suprapubic fat pad resection may also be helpful to elongate a short penis in cases of adult microphallus, or after partial penectomy because of trauma or cancer. Circumcision is contraindicated.
我们认为隐匿阴茎可能是由耻骨上突出的脂肪垫引起并隐匿，此外肉膜筋膜的限制性纤维带在阴茎近端固定阴茎体，而疏松的皮肤皱襞在阴茎远端脱垂。阴茎长度不足或外观异常可能会影响身体形象。有此问题的患者通常需要心理支持。隐匿阴茎可通过触诊有足够的海绵体并显示阴茎拉伸长度在正常范围的2个标准差内与小阴茎相鉴别。切除耻骨上脂肪并切断束缚性肉膜带将使阴茎得到松解并增加其长度。耻骨上脂肪垫切除术对于成年小阴茎患者或因创伤或癌症行部分阴茎切除术后的短阴茎延长也可能有帮助。包皮环切术是禁忌的。
