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Revealing the buried penis in adults.

机译:露出成年人的阴茎。

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INTRODUCTION: Several surgical solutions have been proposed for resolving penile concealment with successful outcomes. Those include liposuction, adhesiolysis, and suprapubic lipectomy through the abdominal crease. Nevertheless, some limitations exist and compromise the results of surgical correction. AIM: This work presents our technique for revealing the hidden penis, addressing the limitations of existing methods for surgical correction. METHODS: Sixty-four adult males with buried penis were operated upon. The penis was revealed by the combination of adhesiolysis, suprapubic and lateral lipectomy, anchoring the penoscrotal and penopubic junctions, and skin coverage by a local flap. MAIN OUTCOME MEASURES: Penile length in the flaccid and erect states. RESULTS: Average postoperative length in the flaccid state was approximately 7 cm +/- 1.3 (a 293% increase) and in the erect state was 18.4 cm +/- 2.9 (185.7% increase), compared with preoperative length of 1.8 cm +/- 0.4 in the flaccid state and 6.4 cm +/- 1.6 in the erect state. Minor complications occurred. There was no deterioration in sexual function. CONCLUSION: Revealing the concealed penis is a complicated procedure. The outcome may be improved by implementing a radical approach to tissue excision, providing adequate skin coverage, and anchoring the penile shaft, skin, and subcutaneous tissues in the revealed state to prevent relapse.
机译:引言:已经提出了几种手术方法来解决阴茎隐匿症并取得成功的结果。这些措施包括吸脂,粘连和通过腹部折痕进行耻骨上脂肪切除术。然而,仍然存在一些局限性并损害了手术矫正的结果。目的:这项工作提出了我们的技术,以揭示隐藏的阴茎,解决了现有的手术矫正方法的局限性。方法:对64名成年男性阴茎进行手术治疗。粘膜溶解,耻骨上和外侧脂肪切除术,锚固阴囊和阴耻交界处以及局部皮瓣覆盖皮肤的组合揭示了阴茎。主要观察指标:在松弛和直立状态下的阴茎长度。结果:与手术前的1.8 cm + /相比,松弛状态的平均术后长度约为7 cm +/- 1.3(增加293%),而勃起状态的平均术后长度为18.4 cm +/- 2.9(增加185.7%)。 -在松弛状态下为0.4,在直立状态下为6.4 cm +/- 1.6。发生轻微并发症。性功能没有恶化。结论:暴露隐藏的阴茎是一个复杂的过程。通过采取彻底的组织切除方法,提供足够的皮肤覆盖率并将阴茎干,皮肤和皮下组织锚固在显露状态以防止复发,可以改善结果。

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