Joseph V T
Department of Paediatric Surgery, Singapore General Hospital.
J Pediatr Surg. 1995 May;30(5):727-9. doi: 10.1016/0022-3468(95)90702-5.
Buried penis has been variously attributed to obesity with excessive suprapubic fat, severe phimosis with trapping of the penis within the prepubic tissues, and inadequate fixation of the penile shaft skin at the base resulting in tenting. Previous attempts at surgical correction, by excising suprapubic fat, fixing penile shaft skin to the base of the penis, and circumcising, have failed to give satisfactory results and, indeed, procedures like circumcision will make the condition even worse. The technique developed by the author is based on the recognition that this condition exists because of the displacement of the root of the penis below its normal position, resulting in the surrounding fat and dartos tissues enveloping the penile shaft. In this procedure, dissection at the root of the penis is carried out deep down to the corporal bodies. All fibrotic tissue that binds the penile shaft is excised. The lengthened penile shaft is anchored at its base by suturing the surrounding tissue onto the tunica. This technique has been applied in 22 patients ranging in age from 5 months to 11 years. Apart from two technical problems, all other patients had satisfactory correction with good functional results.
隐匿阴茎的病因多种多样，包括耻骨上脂肪过多导致的肥胖、严重包茎致使阴茎被困于耻骨前组织内，以及阴茎根部皮肤在基部固定不充分而形成帐篷状。以往通过切除耻骨上脂肪、将阴茎根部皮肤固定至阴茎基部以及进行包皮环切术等手术矫正尝试，均未取得满意效果，实际上，像包皮环切术这样的操作会使病情更加严重。作者所研发的技术基于这样的认识：这种病症的存在是由于阴茎根部移位至其正常位置以下，致使周围脂肪和肉膜组织包裹阴茎体。在此手术过程中，在阴茎根部进行深层解剖直至阴茎海绵体。切除所有束缚阴茎体的纤维化组织。通过将周围组织缝合至白膜，使延长后的阴茎体在基部固定。该技术已应用于22例年龄从5个月至11岁的患者。除了两个技术问题外，所有其他患者均获得了满意的矫正效果且功能良好。
