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我院从1987年1月起采用自行设计“?”形阴茎阴囊带蒂转移皮瓣一期惨复阴茎阴囊型、阴囊型、会阴型尿道下裂共5例,效果满意,介绍如下。一、手术方法 1.早期做耻骨上膀胱穿刺造瘘,近期选用F_(8～10)硅胶管自尿道外口置入膀胱,作为新成形尿道的支架管并引流尿液。 2.矫正阴茎下曲:沿冠状沟下3mm处做环形切口,于阴茎腹侧正中向下绕过尿道外口,逐层切开达阴茎海绵体的白膜表面,彻底切除腹侧纤维索条,使阴茎充分伸直(附图1)。
Our hospital from January 1987 onwards with their own design “?” Shape penis scrotum pedicle transfer flap a tragedy penis scrotum, scrotum, perineal hypospadias in 5 cases, the results are satisfactory, described below. First, the surgical methods 1. Early suprapubic bladder puncture fistula, the recent selection of F_ (8 ~ 10) silicone tube from the urethral orifice into the bladder, as the new urethral stent tube and drainage of urine. 2. Correction of the penile curvature: 3mm under the coronary sulcus to make an annular incision in the penis around the middle of the ventral urethral orifice, layer by layer cut to reach the white corpus cavernosum surface, complete removal of the ventral fiber cord , So that the penis fully straightened (Figure 1).