Woodhouse C R, Kellett M J
J Urol. 1984 Dec;132(6):1122-4. doi: 10.1016/s0022-5347(17)50058-0.
The anatomy and erectile deformities of the penis in patients with exstrophy and epispadias are described. The information was derived from cavernosograms in 17 patients, an operation in 12, a pelvic computerized tomography scan in 1 and a cystectomy for carcinoma in 1. The inferior pubic ramus and, therefore, the corpora cavernosa are parallel to the floor when the patient is standing. Although the penis loses some of its length through the separation of pubic bones the corpora are shorter than in normal men. Ten corpora were rudimentary in 6 patients, perhaps because of vascular damage during a neonatal operation. The most common erectile deformity was tight dorsal chordee owing to intrinsic curvature of the corpora. The deformity is not caused by scar tissue or shortness of the reconstructed urethra. Patients with 1 rudimentary corpus have lateral deviation on erection.
描述了膀胱外翻和尿道上裂患者阴茎的解剖结构及勃起畸形情况。这些信息来源于17例患者的海绵体造影、12例患者的手术、1例患者的盆腔计算机断层扫描以及1例因癌行膀胱切除术。当患者站立时，耻骨下支以及海绵体与地面平行。尽管阴茎因耻骨分离而长度有所缩短，但海绵体比正常男性的短。6例患者中有10个海绵体发育不全，这可能是由于新生儿期手术导致血管损伤所致。最常见的勃起畸形是由于海绵体固有弯曲导致的严重背侧阴茎下弯。这种畸形不是由瘢痕组织或重建尿道短缩引起的。有1个发育不全海绵体的患者勃起时会向一侧偏斜。
