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摘要: 目的:提高对阴茎弯曲的诊断及外科治疗水平。方法:回顾性分析20例阴茎弯曲矫形术及术后并发症,其中15例为先天性阴茎弯曲类型,采用阴茎皮肤袖状脱套+可吸收缝线单纯阴茎白膜折叠术矫形弯曲;5例为继发性阴茎弯曲患者,采用斑块切除+膀胱黏膜补片矫正阴茎弯曲。结果:20例术后随访6~24个月,平均18个月,无血肿,感染,尿瘘,阴茎感觉改变,勃起疼痛及勃起功能障碍等并发症,术后矫正率90%,2例术后矫正阴茎稍弯曲＜15°,1例术后阴茎缩短约2 cm。结论:根据阴茎弯曲的程度,选择合理的手术方式,可矫正阴茎弯曲,保证有效的勃起功能及一定的阴茎长度。Abstract: Objective:To improve the diagnosis and treatment level of penile curvature.Method:Surgical approaches and postoperative complications of 20 cases of penile curvature were retrospectively analyzed.Of the 20 cases,15 cases were congenital penile curvature and treated with complete degloving of penile skin and albuginea placation,5 cases were secondary penile curvature and treated with plaques resection and bladder mucosa graft.Result: cases were followed up for 6 to 24 months,and the mean follow-up time was 18 months.Penile curvature was corrected in 90% cases.No hematoma,infection,urinary fistula,painful erection or erectile dysfunction was occurred.Mild curvature ＜15° remained in 2 cases,penile shortening ＜2 cm occurred in 1 case.Conclusion:Choosing appropriate surgical treatment according to the extent of curvature could correct the penile curvature and keep effective erectile function and penile length.
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Key words:
- penile curvature /
- surgical treatment
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