Pope J C, Kropp B P, McLaughlin K P, Adams M C, Rink R C, Keating M A, Brock J W
Division of Pediatric Urology, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Urology. 1996 Jul;48(1):124-7. doi: 10.1016/s0090-4295(96)00097-0.
To review and evaluate our extensive outpatient experience in the use of dermal grafts for the correction of significant residual chordee in patients requiring penile orthoplasty.
The medical records of all patients requiring surgical correction for severe penile curvature over the past 5 years were reviewed. Among these, 51 patients were identified in whom dermal grafts were used to correct severe residual chordee. Of these patients, 41 had severe hypospadias, 9 had epispadias, and 1 had urethral atresia. Graft harvest and placement technique, any resulting complications, and parental satisfaction with cosmetic and functional results were all evaluated.
The dermal grafts were harvested from the hairless skin of the inguinal area, using one of two techniques. All were used to fill a tunical defect created by incising the tunica at the point of maximal penile curvature. No complications or postoperative hospitalizations resulted from any of the orthoplasty procedures. At a mean follow-up of 27 months, all patients had excellent cosmetic and functional results.
In patients with significant residual chordee, a dermal graft is our preferred method of penile orthoplasty. This technique provides a straight phallus with a very minimal complication rate, it can easily and successfully be performed as an outpatient procedure, and it has assured an excellent cosmetic and functional result.
回顾并评估我们在门诊使用真皮移植物矫正阴茎成形术患者严重残余阴茎下弯方面的丰富经验。
回顾了过去5年中所有需要手术矫正严重阴茎弯曲患者的病历。其中，51例患者使用真皮移植物矫正严重残余阴茎下弯。这些患者中，41例患有重度尿道下裂，9例患有尿道上裂，1例患有尿道闭锁。评估了移植物获取和放置技术、任何由此产生的并发症以及家长对外观和功能结果的满意度。
采用两种技术之一从腹股沟区无毛皮肤获取真皮移植物。所有移植物均用于填充在阴茎最大弯曲点切开白膜所造成的白膜缺损。阴茎成形术均未导致并发症或术后住院。平均随访27个月时，所有患者的外观和功能结果均极佳。
对于有严重残余阴茎下弯的患者，真皮移植物是我们首选的阴茎成形术方法。该技术能提供笔直的阴茎，并发症发生率极低，可轻松且成功地作为门诊手术进行，并且能确保极佳的外观和功能结果。
