Woodhouse C R
J Urol. 1986 May;135(5):932-5. doi: 10.1016/s0022-5347(17)45927-1.
The management of 20 patients with erectile deformities owing to exstrophy and epispadias is described. The type of deformity was defined by cavernosography and intraoperative artificial erections. Of the 20 patients 15 had dorsal chordee, 2 had lateral deviation (1 also had dorsal chordee) and 3 had bilateral rudimentary corpora producing small and inadequate erections. The latter 3 patients were considered inoperable. Of the 15 patients with dorsal chordee 12 were treated by insertion of lyophilized human dura in the concave side of the corpora. The results were good after 1 attempt in 8 and after 2 attempts in 1, while 1 had recurrent chordee distal to the first site and further dural phalloplasty was successful, 1 was improved and 1 was a failure. Of the remaining 3 patients in this group 2 underwent excision of scar tissue (1 also had a ventral Nesbit procedure) and the condition was not bad enough to require an operation in 1. Of the 2 patients with lateral deviation 1 was treated by division of a rudimentary corpus and dural phalloplasty of the normal corpus, which produced a straight but rather unstable erection, and 1 underwent bilateral dural phalloplasty with a good result.
本文描述了20例因膀胱外翻和尿道上裂导致勃起畸形患者的治疗情况。通过海绵体造影和术中人工勃起确定畸形类型。20例患者中，15例有背侧阴茎弯曲，2例有侧方弯曲（其中1例同时有背侧阴茎弯曲），3例双侧阴茎海绵体发育不全，勃起短小且不充分。后3例患者被认为无法进行手术。15例背侧阴茎弯曲患者中，12例通过在阴茎海绵体凹侧植入冻干人硬脑膜进行治疗。8例患者一次植入后效果良好，1例患者两次植入后效果良好，1例患者在首次植入部位远端出现复发性阴茎弯曲，再次进行硬脑膜阴茎成形术成功，1例患者病情改善，1例患者手术失败。该组其余3例患者中，2例进行了瘢痕组织切除（其中1例还进行了腹侧Nesbit手术），1例病情较轻无需手术。2例侧方弯曲患者中，1例通过切断发育不全的阴茎海绵体并对正常阴茎海绵体进行硬脑膜阴茎成形术进行治疗，术后勃起变直但不太稳定，1例进行双侧硬脑膜阴茎成形术，效果良好。
