通过同步阴茎延长和根治性肿瘤切除来避免会阴尿道造口术治疗浸润性阴茎癌。
Management of invasive penile cancer by synchronous penile lengthening and radical tumour excision to avoid perineal urethrostomy.
作者信息
Donnellan S M, Webb D R
机构信息
Department of Urology, Royal Melbourne Hospital, Victoria, Australia.
出版信息
Aust N Z J Surg. 1998 May;68(5):369-70. doi: 10.1111/j.1445-2197.1998.tb04775.x.
BACKGROUND
Adequate excision of invasive penile carcinoma often results in a penile stump of inadequate length to control the urinary stream. A simple technique to lengthen the stump and avoid urethrostomy is described here.
METHODS
Additional corporal length is gained by dividing the dorsal suspensory ligaments through a transverse lower abdominal skin incision. Skin length is gained by vertical closure of this incision.
RESULTS
This technique has been successful in two cases where the stump length after partial penectomy was borderline. Each patient has a functional stump with satisfactory cosmesis.
CONCLUSIONS
In selected cases this technique may avert the need for perineal urethrostomy after adequate excision of a penile cancer.
背景
浸润性阴茎癌的充分切除常常导致阴茎残端长度不足，无法控制尿液流出。本文描述了一种延长残端并避免尿道造口术的简单技术。
方法
通过下腹部横向皮肤切口切断背侧悬韧带增加阴茎海绵体长度。通过垂直缝合该切口增加皮肤长度。
结果
该技术在两例阴茎部分切除术后残端长度处于临界状态的病例中取得成功。每位患者都有一个功能良好且外观满意的残端。
结论
在特定病例中，该技术可能避免阴茎癌充分切除术后进行会阴尿道造口术的需要。
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