Parkash S, Gajendran V
Br J Plast Surg. 1984 Jan;37(1):117-20. doi: 10.1016/0007-1226(84)90054-7.
This paper is a review of the treatment of 32 cases of meatal stenosis arising as a complication of recurrent balanoposthitis (26 cases) or balanitis xerotica obliterans (six cases). There was gross scarring of the glans and the terminal urethra resulting in a contracted glans and a pinhole meatus. These deformities were treated successfully by segmental excision of all the scar on the glans and resurfacing the raw area with a local preputial or penile skin flap. In two patients a ventral midline flap was introduced as an island flap. In no case was a ventral slit made as the only definitive treatment of the meatal stenosis. Two instruments were made specifically to facilitate this type of operation.
本文回顾了32例因复发性龟头包皮炎（26例）或闭塞性干燥性龟头炎（6例）并发尿道口狭窄的治疗情况。龟头和尿道末端出现严重瘢痕，导致龟头挛缩和尿道口呈针孔状。通过分段切除龟头上的所有瘢痕，并利用局部包皮或阴茎皮瓣覆盖创面，成功矫正了这些畸形。2例患者采用腹侧中线皮瓣作为岛状皮瓣。无一例将腹侧切开作为尿道口狭窄的唯一确定性治疗方法。专门制作了两种器械以方便此类手术。
