Mesrobian H G, Kelalis P P, Kramer S A
J Urol. 1986 Jul;136(1 Pt 2):256-8. doi: 10.1016/s0022-5347(17)44832-4.
Long-term results of genital function and cosmetic appearance were analyzed in 53 patients with bladder exstrophy. Satisfactory cosmetic appearance of the external genitalia, with a straight penis angulated downward in the standing position, was achieved in 55 per cent of the patients. Normal erectile function was preserved in all patients and 61 per cent of the postpubertal patients had experienced satisfactory intercourse. The recent use of formal penile elongation by partial mobilization of the crura of the corpora cavernosa from the pubic rami combined with single-stage or multistage urethroplasty has produced a significant improvement in results. Of the patients 12 are married and 5 have fathered children.
对53例膀胱外翻患者的生殖功能和外观进行了长期随访分析。55%的患者外生殖器外观满意，站立位时阴茎笔直且向下成角。所有患者均保留了正常勃起功能，61%的青春期后患者有满意的性交体验。近期采用从耻骨支部分游离海绵体脚并结合一期或多期尿道成形术进行阴茎延长，效果有显著改善。12例患者已婚，5例已育有子女。
