CAJ | 학술논문

目的探讨采用前尿道融合术治疗1例完全型双阴茎畸形的可行性、安全性及临床价值. 方法 2011年3月收治1例17岁完全型双阴茎畸形患者.体检示两阴茎发育好；尿道造影及尿道镜检查显示两尿道完全分开且分别进入膀胱.术中将两前尿道腹侧从尿道外口到球部尿道分别剖开,4-0可吸收线将两剖开的尿道侧侧连续缝合成一条尿道,双阴茎合二为一.对比分析患者手术前后夜间阴茎勃起试验(nocturmal penile tumescence,NPT)及阴茎震感阈值. 结果患者术后随访12个月,术后无血肿、尿瘘、尿失禁等并发症.阴茎外形恢复正常,晨间勃起及排尿正常.术后6个月NPT和生物震感阈值检测显示,患者夜间勃起强度、持续时间及勃起次数与术前相比无明显变化(P＞0.05). 结论前尿道融合术是治疗双阴茎畸形的一种有效途径,不影响患者的排尿功能及性功能,安全可行.
목적 탐토채용전뇨도융합술치료1례완전형쌍음경기형적가행성、안전성급림상개치. 방법 2011년3월수치1례17세완전형쌍음경기형환자.체검시량음경발육호；뇨도조영급뇨도경검사현시량뇨도완전분개차분별진입방광.술중장량전뇨도복측종뇨도외구도구부뇨도분별부개,4-0가흡수선장량부개적뇨도측측련속봉합성일조뇨도,쌍음경합이위일.대비분석환자수술전후야간음경발기시험(nocturmal penile tumescence,NPT)급음경진감역치. 결과 환자술후수방12개월,술후무혈종、뇨루、뇨실금등병발증.음경외형회복정상,신간발기급배뇨정상.술후6개월NPT화생물진감역치검측현시,환자야간발기강도、지속시간급발기차수여술전상비무명현변화(P＞0.05). 결론 전뇨도융합술시치료쌍음경기형적일충유효도경,불영향환자적배뇨공능급성공능,안전가행.
Objective To evaluate the efficacy,safety and clinical value of anterior urethral fusion to treat diphallia. Methods A 17-year-old male patient with complete penile diphallia was treated in March 2011.The physical examination showed two completely separated mature penis; urethrography,and urethroscope showed the two urethras were completely separated and entered the bladder respectively.Two anterior urethras were incised respectively at ventral sides ( from the meatus to bulbar urethra) and then two incised anterior urethras were splintered by a continuous suture with 4-0 polyglactin sutures in side and side.Two penises were splintered into one.The nocturnal penile tumescence test and the penis vibration thresholds were assessed before,and after surgery.. Results The patient was followed up for 12 months.There was no hematoma,urinary fistula,urinary incontinence and other complications postoperatively.The penis was recovered with normal appearance; urination and morning erection of penile were normal.6 months after surgery,there was no significant difference in the nocturnal penile tumescence and penis vibration thresholds detection ( P ＞ 0.05). Conclusion The operation of anterior urethral fusion is a safe and efficient surgical treatment to treat partial complete penile diphallia with less complication and no worse effect on urination and erection of penile.