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Adult Prepuceplasty: Comparison of Outcomes of Standard Prepuceplasty and Foreskin Z-plasty

机译：成人耻骨包皮成形术：标准的耻骨包皮成形术和包皮Z成形术的结果比较

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摘要

To compare the clinical and patient-reported outcomes from standard prepuceplasty and foreskin Z-plasty. Consecutive standard prepuceplasty (n = 22) and Z-plasty (n = 12) procedures performed from September 2005 to December 2010 were analyzed. The patient and operative data were collated, together with the results of a patient questionnaire inquiring about the postoperative complications, postoperative pain, remaining foreskin tightness in the flaccid or erect penis, cosmetic appearance after surgery, and the need for later circumcision.The median follow-up period was 26 months for standard prepuceplasty and 16 months for Z-plasty. Of the 22 patients in the standard prepuceplasty group and 12 patients in the Z-plasty group, 5 (22.7%) and 1 (9.1%) requested circumcision (P = .33), respectively. One man in each group underwent revision standard prepuceplasty. Patients undergoing the 2 procedures reported no significant differences for the questions relating to postoperative pain and foreskin tightness in the flaccid or erect penis. However, the cosmetic appearance after Z-plasty, assessed using a Likert scale question, were "good" or "very good" compared with "acceptable" for the standard group (P = .005). Prepuceplasty can be used successfully in well-selected patients. In the present series, 82% of men avoided circumcision. Z-plasty resulted in fewer circumcisions and a significantly better cosmetic appearance than standard prepuceplasty.
机译：比较标准的包皮前成形术和包皮Z形成形术的临床结果和患者报告的结局。分析了从2005年9月至2010年12月连续进行的标准术前切除术（n = 22）和Z成形术（n = 12）。将患者和手术数据以及患者问卷调查结果进行了整理，该问卷调查了患者的术后并发症，术后疼痛，松弛或直立的阴茎的包皮紧度，手术后的外观以及是否需要包皮环切术。标准的术前切除术为26个月，Z-成形术为16个月。标准的术前切除术组22例患者和Z成形术组12例患者中，分别要求包皮环切术的分别为5（22.7％）和1（9.1％）（P = .33）。每组一个人进行修订标准的术前修补术。接受这2种手术的患者在松弛或勃起的阴茎中，关于术后疼痛和包皮紧绷的问题报告无显着差异。但是，与标准组的“可接受”相比，使用李克特量表问题进行的Z成形术后的化妆品外观为“良好”或“非常好”（P = 0.005）。术前摘除术可以成功地用于精心挑选的患者。在本系列中，有82％的男性避免了包皮环切术。 Z整形术比标准的包皮前整形术减少了包皮环切术，并显着改善了外观。

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