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山东大学学报（医学版） ›› 2014, Vol. 52 ›› Issue (10): 86-89.doi: 10.6040/j.issn.1671-7554.0.2014.152

• 临床医学 • 上一篇    下一篇

单纯性阴茎弯曲畸形手术治疗的选择及体会

陆福鼎1, 玄绪军1,2, 许可慰1, 毕良宽1   

  1. 1. 中山大学孙逸仙纪念医院泌尿外科, 广东 广州 510120;
    2. 山东大学附属生殖医院泌尿生殖男科, 山东 济南 250012
  • 收稿日期:2014-03-19 修回日期:2014-09-18 出版日期:2014-10-10 发布日期:2014-10-10
  • 通讯作者: 玄绪军。E-mail：xxujun777@163.com E-mail:xxujun777@163.com

Surgical treatment experience of congenital simple penile curvature

LU Fuding1, XUAN Xujun1,2, XU Kewei1, BI Liangkuan1   

  1. 1. Department of Urology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou 510120, Guangdong, China;
    2. Department of Urology and Andrology, Shandong Provincial Hospital Affiliated to Shandong University, Jinan 250012, Shandong, China
  • Received:2014-03-19 Revised:2014-09-18 Online:2014-10-10 Published:2014-10-10

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摘要： 目的 研究单纯性阴茎弯曲畸形的治疗方法，探讨其手术方式的选择及并发症的防治。方法 采用阴茎脱套、尿道松解及白膜折叠缝合术治疗单纯性阴茎弯曲26例。平均年龄14岁，其中Ⅱ型14例，Ⅲ型12例。有3例患者仅予阴茎脱套及尿道松解后便已完全矫直，另23例则需联合阴茎白膜折叠缝合术治疗，术后均辅以百多邦软膏预防感染。结果 本组26例手术均获成功，术后7～10 d出院。其中25例一期愈合，1例患者因误用乙醇擦洗而灼伤阴茎切口，涂以百多邦1月后延期愈合。平均随访观察54个月，全部患者阴茎弯曲矫正满意，勃起功能正常，未见复发，无需二次手术。结论 阴茎脱套、尿道松解联合阴茎白膜折叠缝合术对单纯性阴茎弯曲畸形疗效确切，可作为单纯性阴茎弯曲畸形的基本治疗方法。根据阴茎弯曲的类型及严重程度选择或联合适当的术式，可矫正阴茎弯曲，保证阴茎长度及勃起功能。术后涂以百多邦软膏能很好地预防感染，减少并发症。

关键词: 阴茎畸形, 并发症, 单纯性, 手术治疗

Abstract: Objective To investigate the management of congenital simple penile curvature, exploring the choice of surgical approaches and the prevention of complications. Methods Degloving of penile shaft, urethral remission and albuginea fold suture were performed in 26 cases of simple penis deformity, including 14 cases of type Ⅱ and 12 cases of type Ⅲ. The patients' average age was 14 years. All patients used Bactroban to prevent infection after operation. Results All patients were successfully operated on and discharged from hospital 7 d～10 d after operation. Of them, 25 cases recovered after the first session, 1 case burned his wound by alcohol and recovered 1 month later. During the follow-up of 54 months, all penis were completely straight without any recurrence, and none needed a second operation. Conclusion The degloving of penile shaft, urethral remission combined with albuginea fold suture is effective for patients with congenital islated penile curvature. It is advisable to select the appropriate surgical procedure according to the type and severity of penile curvature, thus to ensure the length and erectile function of the penis. Bactroban ointment used postoperatively is a good way to prevent infection.

Key words: Penis deformity, Simplicity, Complication, Surgery

中图分类号: 

  • R697.1
[1] 朱选文, 钟达川, 郭君平, 等. 阴茎弯曲的诊断及外科治疗(附25例报告)[J]. 中国男科学杂志, 2008, 22(3): 19-21. ZHU Xuanwen, ZHONG Dachuan, GUO Junping, et al. Diagnosis and surgical treatment of Penile curvature (report of 25 cases)[J]. Chinese Journal of Andrology, 2008, 22(3): 19-21.
[2] Snodgrass W T. Management of penile curvature in children[J]. Curr Opin Urol, 2008, 18(4): 431-435.
[3] Montag S, Palmer L S. Abnormalities of penile curvature: chordee and penile torsion[J]. Scientific World Journal, 2011, 11: 1470-1478.
[4] Kelemen Z. Reconstructive surgery of penile deformities and tissue deficiencies[J]. Orv Hetil, 2009, 150(22): 1023-1029.
[5] Hayn M H, Bellinger M F, Schneck F X. Small intestine submucosa as a corporal body graft in the repair of severe chordee[J]. Urology, 2009, 73(2): 277-279.
[6] Stojanovic B, Bizic M, Majstorovic M, et al. Penile curvature incidence in hypospadias: can it be determined?[J]. Adv Urol, 2011: 813205. doi: 10.1155/2011/813205.
[7] Kramer S A, Aydin G, Kelalis P P. Chordee without hypospadias in children[J]. J Urol. 1982, 128(3): 559-561.
[8] 黄华刚, 郭骏, 周建方, 等. 3例单纯性阴茎弯曲的治疗[J]. 贵阳医学院学报, 2010, 35(1): 105-106. HUANG Huagang, GUO Jun, ZHOU Jianfang, et al. Treatment of three cases simple penile curvature[J]. Journal of Guiyang Medical College, 2010, 35(1): 105-106.
[9] Xu N, Xue X Y, Li X D, et al. Comparative outcomes of the tubularized incised plate and transverse island flap onlay techniques for the repair of proximal hypospadias[J]. Int Urol Nephrol, 2014, 46(3): 487-491.
[10] Hsieh J T, Liu S P, Chen Y, et al. Correction of congenital penile curvature using modified tunical plication with absorbable sutures: the long-term outcome and patient satisfaction[J]. Eur Urol, 2007, 52(1): 261-267.
[11] Colpi G, Piediferro G, Castiglioni F, et al. Penile septoplasty for congenital ventral penile curvature: results in 51 patients[J]. J Urol, 2009, 182(4): 1489-1494.
[12] Baskin L S, Erol A, Li Y W, et al. Anatomical studies of hypospadias[J]. J Urol, 1998, 160(32): 1108-1115.
[13] Castagnetti M, El-Ghoneimi A. The influence of perioperative factors on primary severe hypospadias repair[J]. Nat Rev Urol, 2011, 8(4): 198-206.
[14] Makovey I, Higuchi T T, Montague D K, et al. Congenital Penile Curvature: Update and Management[J]. Curr Urol Rep, 2012, 13(4): 290-297.
[15] Kuehhas F E, Egydio P H. Superficial tunica albuginea excision, using geometric principles, for the correction of congenital penile curvature[J]. BJU Int, 2012, 110(11C): 949-953.
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