改良的阴部-大腿皮瓣用于矫正阴茎阴囊转位。
Modified pudendal-thigh flap for correction of penoscrotal transposition.
作者信息
Levy J B, Darson M F, Bite U, Kramer S A
机构信息
Department of Urology, Mayo Clinic and Mayo Foundation, Rochester, Minnesota 55905, USA.
出版信息
Urology. 1997 Oct;50(4):597-600. doi: 10.1016/S0090-4295(97)00341-5.
OBJECTIVES
In patients with penoscrotal transposition, an occasional postoperative problem has been a deficiency of skin on the proximal penile shaft that results in penoscrotal fusion and tethering.
METHODS
We describe a new operation using a modified neurovascular pudendal-thigh flap for correction of incomplete penoscrotal transposition.
RESULTS
This procedure has been used in 6 children, and an excellent cosmetic and functional result has been achieved in each patient.
CONCLUSIONS
The flaps provide a reliable blood supply, maintain normal innervation, and correct the problem of postoperative penoscrotal fusion and tethering. This technique preserves sufficient penile skin for a tension-free second-stage urethroplasty.
目的
在阴茎阴囊转位患者中，术后偶尔会出现的一个问题是阴茎近端皮肤不足，导致阴茎阴囊融合和粘连。
方法
我们描述了一种使用改良的神经血管阴部 - 大腿皮瓣矫正不完全阴茎阴囊转位的新手术。
结果
该手术已应用于6名儿童，每名患者均取得了出色的美容和功能效果。
结论
皮瓣提供可靠的血液供应，维持正常神经支配，并纠正术后阴茎阴囊融合和粘连问题。该技术保留了足够的阴茎皮肤，以便进行无张力的二期尿道成形术。
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