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九岁患儿严重先天性阴茎扭转的肉膜瓣旋转术：一例报告及手术见解

Dartos flap rotation for severe congenital penile torsion in a nine-year-old: a case report and surgical insights.

作者信息

Mlatie Isaack, Ndola Ibrahim, Chibwae Alfred, Ngereja Shukrani, Bakari Rajabu, Nhungo Charles, Arda Fransia, Nyongole Obadia

机构信息

Department of Surgery, School of Medicine, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.

Department of Urology, Muhimbili National Hospital, Dar es salaam, Tanzania.

出版信息

J Surg Case Rep. 2025 Mar 27;2025(3):rjaf164. doi: 10.1093/jscr/rjaf164. eCollection 2025 Mar.

DOI:10.1093/jscr/rjaf164
PMID:40151667
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11948993/
Abstract

Congenital penile torsion, a rare anomaly characterized by the rotation of the penile shaft along its longitudinal axis, often goes unrecognized in low- and middle-income countries. This case highlights the management of a nine-year-old male presenting with isolated severe penile torsion using a Dartos flap rotation technique. The surgical approach was successful, with no postoperative complications, underscoring its utility as a simple and effective method, particularly in resource-limited settings.

摘要

先天性阴茎扭转是一种罕见的异常情况，其特征为阴茎体沿纵轴旋转，在低收入和中等收入国家常常未被识别。本病例突出了使用肉膜瓣旋转技术对一名9岁孤立性重度阴茎扭转男性患者的处理。手术方法成功，无术后并发症，强调了其作为一种简单有效方法的实用性，尤其是在资源有限的环境中。

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本文引用的文献

1
Surgical Correction of Adult Congenital Penile Curvature: A Systematic Review.成人先天性阴茎弯曲的手术矫正：一项系统评价
J Sex Med. 2022 Feb;19(2):364-376. doi: 10.1016/j.jsxm.2021.11.017. Epub 2022 Jan 5.
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The management of moderate and severe congenital penile torsion associated with hypospadias: Urethral mobilisation is not a panacea against torsion.与尿道下裂相关的中重度先天性阴茎扭转的治疗：尿道游离术并非扭转问题的万灵药。
Arab J Urol. 2013 Mar;11(1):1-7. doi: 10.1016/j.aju.2012.12.004. Epub 2013 Jan 23.
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Abnormalities of penile curvature: chordee and penile torsion.
阴茎弯曲异常：阴茎下弯和阴茎扭转。
ScientificWorldJournal. 2011 Jul 28;11:1470-8. doi: 10.1100/tsw.2011.136.
4
Penile torsion correction by diagonal corporal plication sutures.通过对角海绵体折叠缝合进行阴茎扭转矫正。
Int Braz J Urol. 2009 Jan-Feb;35(1):56-9; discussion 57-9. doi: 10.1590/s1677-55382009000100009.
5
Review of the surgical approaches for Peyronie's disease: corporeal plication and plaque incision with grafting.佩罗尼氏病手术方法综述：阴茎海绵体折叠术及斑块切开加移植术
Adv Urol. 2008;2008:263450. doi: 10.1155/2008/263450. Epub 2008 Nov 4.
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Incidence and predictive factors of isolated neonatal penile glanular torsion.孤立性新生儿阴茎头扭转的发病率及预测因素
J Pediatr Urol. 2007 Dec;3(6):495-9. doi: 10.1016/j.jpurol.2007.03.002. Epub 2007 Jul 5.
7
Penile torsion repair using dorsal dartos flap rotation.使用背侧肉膜瓣旋转修复阴茎扭转。
J Urol. 2004 May;171(5):1903-4. doi: 10.1097/01.ju.0000120148.79867.5c.