Gilbert D A, Jordan G H, Devine C J, Winslow B H, Schlossberg S M
Department of Plastic Surgery, Eastern Virginia Medical School, Norfolk.
J Urol. 1993 Jun;149(6):1521-6. doi: 10.1016/s0022-5347(17)36433-9.
During the last 10 years we performed microsurgical phallic reconstruction in 7 prepubertal and 4 adolescent boys. Indications for surgery included post-traumatic amputation, circumcision accident, developmental anomalies and micropenis. In addition, we performed phalloplasty on 5 other patients 18 to 24 years old. Total phallic reconstruction consisted of 1-stage microsurgical tissue transfers that included urethral reconstruction, coaptation of erogenous nerves, aesthetic refinement and, in some cases, scrotal reconstruction. All postpubertal patients recovered erogenous sensibility in the reconstructed phallus and the ability to masturbate. Surgical indications, techniques and results are discussed.
在过去10年里，我们对7名青春期前男孩和4名青春期男孩进行了显微外科阴茎重建手术。手术适应症包括创伤后截肢、包皮环切术意外、发育异常和小阴茎。此外，我们还对另外5名18至24岁的患者进行了阴茎成形术。全阴茎重建包括一期显微外科组织移植，其中包括尿道重建、性感觉神经吻合、美学改善，在某些情况下还包括阴囊重建。所有青春期后的患者在重建阴茎中恢复了性感觉以及手淫能力。本文讨论了手术适应症、技术和结果。
