CAJ | 학술논문

目的：介绍使用改良Brisson手术治疗隐匿性阴茎20例的方法和效果。方法手术通过用阴茎腹侧倒“V”形切口改良Brisson术来完成，松解阴茎至阴茎悬韧带直至阴茎体完全伸展外露后，修剪包皮系带，背侧中间剪开至适当长度后与内板对合缝合包皮，从阴茎腹侧倒V形切口，在阴茎阴囊角处成型缝合包皮。术后加压包扎3~5 d拆除绷带后出院。结果手术时间30～50 min，随访6～12个月，阴茎发育及外观效果满意，1例较肥胖的患儿术后显露效果不佳。3例水肿患儿术后3个月内均基本消退。结论本术式相对简单损伤小，外观良好，手术时间短，术后恢复快，我们认为是治疗隐匿性阴茎比较理想的手术方式之一。
목적：개소사용개량Brisson수술치료은닉성음경20례적방법화효과。방법수술통과용음경복측도“V”형절구개량Brisson술래완성，송해음경지음경현인대직지음경체완전신전외로후，수전포피계대，배측중간전개지괄당장도후여내판대합봉합포피，종음경복측도V형절구，재음경음낭각처성형봉합포피。술후가압포찰3~5 d탁제붕대후출원。결과수술시간30～50 min，수방6～12개월，음경발육급외관효과만의，1례교비반적환인술후현로효과불가。3례수종환인술후3개월내균기본소퇴。결론본술식상대간단손상소，외관량호，수술시간단，술후회복쾌，아문인위시치료은닉성음경비교이상적수술방식지일。
Objective To introduce the methods and efficiency of modified Brisson operation through 20 patients who got concealed penis. Methods The operation adopted modified Brisson operation which inverted V-shaped incision in the penile ventral, releasing the penis toward the suspensory ligament until it was completely stretched and exposed, then trimed the frenulum preputii, sutured the inner plate and the prepuce after cutting the penile dorsal to an appropriate length, After all this, cut a inverted V-shaped incision in the penile ventral and suture the prepuce in the penis scrotum junction. The bandage were removed after 3-5days pressure bandaging. Results The operation duration were about 30-50 min, with a 6-12 months follow-up visit, The development and appearance of penis, were satisfied, only 1 patient got poor outcome because ofover-fat. Three patients with preputial edema, were recovered after 3 months. Conclucions The advantages of the modified Brisson operation is its simplicity, good appearance, short operative time, and rapid postoperative recovery. It is considered to be an ideal surgical method for treating patient with concealed penis.