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題名 | Surgical Treatment of the "Re-Buried" Penis=再隱藏性陰莖之外科治療法 |
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作者 | 余燦榮; 鍾慧明; Yu, Tsan J.; Chung, Hui M.; |
期刊 | 中華民國泌尿科醫學會雜誌 |
出版日期 | 19970900 |
卷期 | 8:3 1997.09[民86.09] |
頁次 | 頁135-141 |
分類號 | 415.861 |
語文 | eng |
關鍵詞 | 隱藏式陰莖; 陰莖索帶; Buried penis; Concealed penis; Chordee; |
中文摘要 | 外科治療隱藏式陰莖已較以往普遍,然而不適當的手術可能再次的將陰莖埋藏起 來,甚而導致陰莖的殘廢。本文評估在青少年有隱藏式陰莖手術後的併發症及手術後引起之 泌尿問題。本文報告在七位男孩施行穩藏式陰莖手術後再發的情況,我們發現所有的病人最 初都有隱藏式陰莖,而且病人已接受一次以上的矯正手術,然而我們發現所有的病人都有內 縮的陰莖,陰莖皮膚短缺和陰莖索帶,陰莖深埋在結疤的皮膚下引起小便滯留及小便困難。 我們的手術方法包括切開結疤的組織,剝離陰莖腹側的索帶,切開陰莖韌帶,重新將陰莖根 部的皮下組織帶到恥骨的骨膜上,並且利用移植皮來覆蓋陰莖腹側的皮膚缺損。運用以上方 法可成功的矯正再發性隱藏式陰莖。再發性隱藏式陰莖應該小心處理,因為不當的治療可引 發更嚴重的埋藏,甚而造成殘廢的陰莖。 |
英文摘要 | Surgical treatment of a buried penis is becoming more common than before. However, inappropriate operation may re-bury the penis and result in crippled penis. Treatment of the buried or "re-buried" penis should be careful. We assessed urological problems and complications after surgery in adolescents with buried and re-buried penis. We reported 7 boys with a recurrence of buried penis after surgery. All of them had undergone a primary operation for correction of a buried penis followed by one or two revisions due to unsatisfactory results. All had a trapped penis, shortage of penile skin and ventral chordee, which was beneath an annular cicatrix resulting in voiding difficulty or urinary retention. Our operations involved incision of the ring of hypertrophic scar tissue, release of the ventral chordee, repositioning of the penile skin, incision of the suspensory ligament of the penis, re-anchoring of the skin at the base of the penis to the public periosteum and transposition of a split-thickness skin graft for ventral shaft coverage. Satisfactory cosmetic and functional results were achieved in all the cases. Inadequate surgery for a buried penis could re-bury the penis and the subsequent revisions may worsen the burial. Recurrent buried penis should be corrected appropriately since further operations increase the risk of re-burial and, even worse, may result in a crippled penis. |
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