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无尿道下裂的阴茎弯曲较为少见,常规手术方法效果不理想或操作复杂需Ⅱ期手术。我院采用Nesbit伸直术治疗1例,操作简单,效果满意,报告如下: 患者,男,21岁。5年前发现阴茎勃起后向腹侧弯曲。体检:阴茎大小正常,尿道口位于阴茎头顶端,勃起后向腹侧弯曲70°。手术方法:鞍麻,阴茎根部扎止血带,海绵体内注入生理盐水使之充分勃起,见阴茎弯曲位于冠状沟稍下。放松止血带,于阴茎背侧纵形切开皮肤及筋膜3cm,沿白膜表面向两侧游离,将阴茎背侧血管及神经牵向一侧,暴露两侧阴茎海绵体,对称切除长1cm,宽3cm卵圆形白膜一块,用1号丝线横行缝合切口。海绵体内再次注入生理盐水,阴茎勃起满意,放松止血带,无出血,尿道内置导尿管一根,依次缝合筋膜
No hypospadias penis bending is relatively rare, the conventional method of operation is not satisfactory or complicated operation required phase Ⅱ surgery. Our hospital Nesbit straightening surgery in 1 case, the operation is simple, the effect is satisfactory, the report is as follows: The patient, male, 21 years old. 5 years ago found penile erectile curvature to the ventral. Physical examination: normal penile size, urethra at the tip of the penis, ventral bending 70 ° after erection. Surgical methods: saddle hemp, penis root tourniquet tourniquet, sponge injection of saline to full erection, see the penile curvature in the coronary sulcus slightly. Relax the tourniquet, longitudinal incision in the dorsal penile skin and fascia 3cm, free to both sides along the surface of the white membrane, the penis dural blood vessels and nerves to one side, exposing both sides of the corpus cavernosum, symmetrical resection of 1cm , 3cm wide oval white oval piece, with No. 1 suture transverse incision. Sponge injected into the body again saline, penile erection satisfied, relax the tourniquet, no bleeding, urethra built-in catheter, followed by suture fascia