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阴茎悬吊术——阴茎悬韧带切断术中的解剖、解剖学描述及解剖风险强调

Suspension of the penis - dissection, anatomical description and highlighting of anatomical risks in sectioning the suspensory ligaments.

作者信息

Filipoiu Florin-Mihail, Ion Radu-Tudor, Filipoiu Zoran Florin, Tulin Adrian-Daniel, Enciu Octavian, Enyedi Mihaly

机构信息

Morphological Sciences Department, Anatomy Discipline, University of Medicine and Pharmacy "Carol Davila" Bucharest, Bucharest, Romania.

Doctoral School of the University of Medicine and Pharmacy "Carol Davila" Bucharest, Eroii Sanitari Blvd, no.8, Bucharest, 050474, Romania.

出版信息

Basic Clin Androl. 2023 Oct 24;33(1):26. doi: 10.1186/s12610-023-00202-1.

DOI:10.1186/s12610-023-00202-1
PMID:37872528
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10594829/
Abstract

BACKGROUND

The suspension of the penis is provided by two ligaments: fundiform and suspensory. These ligaments are sectioned during some augmentative surgical procedures. The structure, the relations and the variability of these ligaments have been demonstrated. The penile neurovascular bundle and its relationships have also been emphasized. A clear knowledge of these details should ensure a reduction of the risk of surgical injury during augmentation procedures.

RESULTS

We dissected the ligaments providing the suspension of the penis in 7 formalized corpses. We identified, for each of the ligaments, the origin, the insertion and the relations. The dissection pieces were photographed and the images obtained were discussed upon. We described the variability of the anatomical distribution and highlighted the relations with the vascular and nervous structures for each of these ligaments. The anatomical variability of the fascia and the relations with the base of the penis were also emphasized. For the suspensory ligament, we identified three groups of fibers through which it is attached to the penile body.

CONCLUSIONS

The dissections were conducted in layers, corresponding to the operative steps for the penile augmentation procedures. We believe that our study highlights the anatomical basis necessary to safely perform these surgeries. The study contributes to the description of the anatomical variability of the ligaments and logically presents details that contribute to preventing most surgical incidents.

摘要

背景

阴茎的悬吊由两条韧带提供:耻骨前韧带和阴茎悬韧带。在一些增大手术过程中会切断这些韧带。这些韧带的结构、关系及变异性已得到证实。阴茎神经血管束及其关系也已得到强调。清楚了解这些细节应能确保在增大手术过程中降低手术损伤风险。

结果

我们在7具经过防腐处理的尸体上解剖了提供阴茎悬吊的韧带。我们确定了每条韧带的起点、止点及关系。对解剖切片进行拍照,并对获得的图像进行了讨论。我们描述了解剖分布的变异性,并强调了每条韧带与血管和神经结构的关系。还强调了筋膜的解剖变异性及其与阴茎根部的关系。对于阴茎悬韧带,我们确定了三组纤维,通过这些纤维它附着于阴茎体。

结论

解剖是分层进行的,与阴茎增大手术的操作步骤相对应。我们认为我们的研究突出了安全进行这些手术所需的解剖学基础。该研究有助于描述韧带的解剖变异性,并合理呈现有助于预防大多数手术意外的细节。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9971/10594829/3d7bf8e690d5/12610_2023_202_Fig12_HTML.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9971/10594829/3d7bf8e690d5/12610_2023_202_Fig12_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9971/10594829/030a525f484a/12610_2023_202_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9971/10594829/1a25da2328e4/12610_2023_202_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9971/10594829/fb0e2c4842d7/12610_2023_202_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9971/10594829/9af5552efb9b/12610_2023_202_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9971/10594829/0634f38c119a/12610_2023_202_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9971/10594829/b148cf5bfb29/12610_2023_202_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9971/10594829/4a80a0e01287/12610_2023_202_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9971/10594829/086e46242c1d/12610_2023_202_Fig8_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9971/10594829/5d31a91a0e52/12610_2023_202_Fig9_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9971/10594829/601e6baf67f7/12610_2023_202_Fig10_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9971/10594829/cc7b7a01a8e6/12610_2023_202_Fig11_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9971/10594829/3d7bf8e690d5/12610_2023_202_Fig12_HTML.jpg

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Cosmetic penile enhancement surgery: a 3-year single-centre retrospective clinical evaluation of 355 cases.美容阴茎增强手术:355 例单中心回顾性临床评估 3 年。
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