Alter G J
Division of Plastic Surgery, UCLA School of Medicine, Los Angeles, California, USA.
J Urol. 1997 Dec;158(6):2153-7. doi: 10.1016/s0022-5347(01)68185-0.
More than 30 patients presented for reconstruction of penile deformities secondary to penile enlargement surgery performed by other physicians. Lengthening was performed by releasing the suspensory ligament of the penis and advancing pubic skin with a V-Y advancement flap. Girth was increased by injecting autologous fat. Specific complaints relating to the lengthening procedure involve hypertrophic and/or wide scars, a proximal penile hump from a thick, hair-bearing V-Y flap, and a low hanging penis. Complications relating to autologous fat injections include disappearance of fat, penile lumps and nodules, and shaft deformities. The repair of these deformities is described.
From 1994 through October 1996, 19 men underwent 24 various combinations of reconstructive operations, such as scar revisions, V-Y advancement flap reversal, and removal of fat nodules and asymmetrical fat deposits.
Penile appearance and function were improved. Complications include 1 hematoma requiring drainage, minor wound complications and 1 inadequately reversed V-Y flap.
The methods of various repairs are discussed, including reconstructive limitations, timing and staging. Significant improvement can be achieved with proper reconstruction of penile deformities.
超过30例患者因其他医生实施的阴茎增大手术继发阴茎畸形前来进行重建。通过松解阴茎悬韧带并用V-Y推进皮瓣推进耻骨皮肤来实现延长。通过注射自体脂肪增加周长。与延长手术相关的具体主诉包括肥厚性和/或宽大瘢痕、来自厚的、有毛的V-Y皮瓣的阴茎近端隆起以及阴茎低垂。与自体脂肪注射相关的并发症包括脂肪消失、阴茎肿块和结节以及阴茎干畸形。本文描述了这些畸形的修复方法。
从1994年至1996年10月，19名男性接受了24种不同组合的重建手术，如瘢痕修复、V-Y推进皮瓣翻转以及脂肪结节和不对称脂肪沉积物的清除。
阴茎外观和功能得到改善。并发症包括1例需要引流的血肿、轻微伤口并发症以及1例V-Y皮瓣翻转不充分。
讨论了各种修复方法，包括重建的局限性、时机和分期。通过对阴茎畸形进行适当重建可取得显著改善。
