Peled I J, Har-Shai Y, Berger Y, Ullman Y
Department of Plastic Surgery, Rambam Medical Center, Haifa, Israel.
Plast Reconstr Surg. 1993 Mar;91(3):556-60.
Chordee or ventral curvature of the penis is commonly associated with and occasionally without hypospadias. The usual recommended treatment is excision of the fibrous tissue that is responsible for the bowing. This results in a proximal retraction of the meatus. With a different concept and explanation of the ventral curvature, we treat this abnormal condition as a shortage of tissue. More than a hundred consecutive cases of chordee with and without hypospadias were treated by skin release and dorsal to ventral transposition of preputial skin as well as hypospadias repair. The whole procedure is simple, planned as a single-stage operation with less morbidity or fewer complications. The meatus is not pushed back proximally, no dissection distal to the meatus is performed, and there is no need for tissue excision. The results were very successful, with no recurrence of the ventral curvature.
阴茎下弯或阴茎腹侧弯曲通常与尿道下裂相关，偶尔也可无尿道下裂。通常推荐的治疗方法是切除导致弯曲的纤维组织。这会导致尿道口近端回缩。基于对阴茎腹侧弯曲的不同概念和解释，我们将这种异常情况视为组织短缺。我们采用皮肤松解、包皮皮肤从背侧至腹侧转位以及尿道下裂修复术，连续治疗了一百多例有或无尿道下裂的阴茎下弯病例。整个手术过程简单，计划作为一期手术进行，发病率较低或并发症较少。尿道口不会向近端回缩，不在尿道口远端进行解剖，也无需切除组织。结果非常成功，阴茎腹侧弯曲无复发。
