CAJ | 학술논문

目的探讨阴茎型尿道上裂的病理解剖特点和解剖学修复方法.方法以尿道上裂患者局部尿道板成形缺损段尿道,切断阴茎浅悬韧带松解阴茎背侧挛缩,使得阴茎及尿道海绵体复位,从而完成尿道修复.结果 2004年6月至2010年12月,于临床应用26例,术后18例获得随访,时间为6个月至5年,10例手术一次成功,排尿通畅,控尿能力良好,阴茎背侧弯曲消失,尿道外口位于阴茎头端,效果良好；另8例有不同程度的尿失禁,二次手术进行尿道紧缩后消失.结论将阴茎型尿道上裂的病理解剖结构恢复其正常的解剖学关系,能够达到外形及功能的良好修复.
목적 탐토음경형뇨도상렬적병리해부특점화해부학수복방법.방법 이뇨도상렬환자국부뇨도판성형결손단뇨도,절단음경천현인대송해음경배측련축,사득음경급뇨도해면체복위,종이완성뇨도수복.결과 2004년6월지2010년12월,우림상응용26례,술후18례획득수방,시간위6개월지5년,10례수술일차성공,배뇨통창,공뇨능력량호,음경배측만곡소실,뇨도외구위우음경두단,효과량호；령8례유불동정도적뇨실금,이차수술진행뇨도긴축후소실.결론 장음경형뇨도상렬적병리해부결구회복기정상적해부학관계,능구체도외형급공능적량호수복.
Objective To investigate the pathological characters and anatomic correction of penile epispadias.Methods The urethra was formed by local urethra plate mucosa flaps.The contracture on dorsum of penis was released by cutting off the superficial suspensory ligament to reposition the penile and urethral sponge.Results From Jun.2004 to Dec.2010,26 cases with penile epispadias were treated.18cases were followed up for 6 months to 5 years.10 cases were treated successfully with good cosmetic and functional results.Urinary incontinence happened in 8 cases,which healed after tightening operation.Conclusions The anatomic correction of penile epispadias can recover the normal anatomic structure,resulting good cosmetic and functional results.