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目的提高对成人隐匿阴茎的认识,探讨适宜的手术方法。方法对28例成人隐匿阴茎,基本术式为阴茎延长术,并根据其不同的临床表现结合松解切除纤维索带、包皮口成形、切除耻骨前过多的脂肪组织、二期行阴茎腹侧延长或阴茎阴囊转位矫治术。结果术后随访6~36个月,24例(85.71%)有一过性阴茎皮肤水肿;2例(7.14%)顽固性淋巴肿;2例(7.14%)切口处脂肪液化;术后阴茎勃起时长度较术前平均增加(4.19±0.15)cm,24例(85.71%)患者的阴茎外观满意,显露良好。结论阴茎延长术结合其他方法对成人隐匿阴茎进行个性化处理是一种合适的手术方法。
Objective To improve the understanding of concealed penis in adults and to explore appropriate surgical methods. Methods 28 cases of adult penile obstruction, the basic surgical penile lengthening operation, and according to their different clinical manifestations combined with the release of fiber cord loosening, prepuce prepuce, removal of excess prepubertal adipose tissue, the second phase of penile ventral Prolonged or penile scrotum translocation correction surgery. Results Postoperatively, 6 to 36 months postoperatively, 24 cases (85.71%) had transient penile skin edema, 2 cases (7.14%) refractory lymph nodes and 2 cases (7.14%) incision fat liquefaction (4.19 ± 0.15) cm after operation, and 24 cases (85.71%) had satisfactory penis appearance and showed a good appearance. Conclusion Penile lengthening combined with other methods of personalized treatment of hidden penis is a suitable surgical method.