Austoni E, Colombo F, Mantovani F
Istituto di Urologia dell'Università, Milano.
Arch Ital Urol Androl. 1993 Dec;65(6):679-86.
Congenital anomalies of the penis expressed in various forms of flexures can be associated to a rotation of the shaft. An asymmetrical insertion of the suspensory ligament on the dorsal surface of the tunica albuginea often accounts for corporal rotation. This distorts the spatial relationship between the corpora cavernosa and the pubic bone. The two corpora may overlap and the shaft is partially rotated. For the surgical treatment of these defects we proposed (1989) a technique of contrarotation of the tunica albuginea which was later abandoned because it was too invasive. We developed a technique based on the ipsilateral re-suspension of the suspensory ligament of the penis between the tunica of the lower corpus and the pubic symphysis to restore the true axis. The neurovascular adnexa, the corpora cavernosa, and the corpus spongiosum remain untouched.
阴茎先天性畸形表现为各种形式的弯曲，可能与阴茎干旋转有关。阴茎悬韧带在白膜背侧不对称附着常导致海绵体旋转。这会扭曲海绵体与耻骨之间的空间关系。两侧海绵体可能重叠，阴茎干部分旋转。对于这些缺陷的手术治疗，我们在1989年提出了一种白膜反向旋转技术，但后来因其创伤性过大而被放弃。我们开发了一种基于阴茎悬韧带在下方海绵体白膜与耻骨联合之间同侧重新悬吊的技术，以恢复真正的轴线。神经血管附件、海绵体和尿道海绵体均保持不动。
