怎么做：改良的迪瓦恩手术，套筒筋膜切除术治疗包皮环切术后隐蔽性阴茎。

IF 1.9 3区医学 Q2 PEDIATRICS

Journal of Pediatric Urology Pub Date : 2025-09-13 DOI:10.1016/j.jpurol.2025.09.007

Meng Gui, Lei Zhang, Hao Wang, Qingbao He

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引用次数: 0

摘要

包皮环切术后隐藏的阴茎可能会由于纤维性阴茎组织拴住阴茎轴而导致隐藏的阴茎外观。我们提出了一种改良的Devine手术方法，包括完全切除异常的肛门筋膜（“袖式”肛门筋膜切除术），并对阴茎干皮肤进行真皮锚定，以充分释放阴茎并改善暴露。在接受这种技术治疗的22名男孩中，拉伸的阴茎长度大约翻了一番（从1.8厘米到4.3厘米），没有复发。仅发生了轻微的并发症，患者/家属对术后外观的满意度很高。这种方法为包皮环切术后隐蔽性阴茎提供了一种简单、有效的解决方法。

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How do I do it: Modified Devine procedure with sleeve dartos fasciectomy for post-circumcision concealed penis.

Concealed penis after circumcision can result in a buried penis appearance due to fibrotic dartos tissue tethering the shaft. We present a modified Devine's procedure that includes complete circumferential excision of the abnormal dartos fascia ("sleeve" dartos fasciectomy) and dermal anchoring of the shaft skin to fully release the penis and improve exposure. In 22 boys treated with this technique, stretched penile length approximately doubled (from ∼1.8 cm to 4.3 cm) with no recurrences. Only minor complications occurred, and patient/family satisfaction with the postoperative appearance was high. This approach provides a simple, effective solution for post-circumcision concealed penis.

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来源期刊

Journal of Pediatric Urology PEDIATRICS-UROLOGY & NEPHROLOGY

CiteScore

3.70

自引率

15.00%

发文量

330

审稿时长

4-8 weeks

期刊介绍： The Journal of Pediatric Urology publishes submitted research and clinical articles relating to Pediatric Urology which have been accepted after adequate peer review. It publishes regular articles that have been submitted after invitation, that cover the curriculum of Pediatric Urology, and enable trainee surgeons to attain theoretical competence of the sub-specialty. It publishes regular reviews of pediatric urological articles appearing in other journals. It publishes invited review articles by recognised experts on modern or controversial aspects of the sub-specialty. It enables any affiliated society to advertise society events or information in the journal without charge and will publish abstracts of papers to be read at society meetings.