Clinical efficacy of postoperative hydrophallous after penile lengthening surgery
10.3760/cma.j.issn.1671-0290.2012.02.013
- VernacularTitle:改进阴茎延长术的临床效果
- Author:
Ling TAO
;
Ling CHEN
;
Shirong LI
- Publication Type:Journal Article
- Keywords:
Penile lengthening;
Hydrophallus;
Lymph vessel;
Anatomy;
Clinical study
- From:
Chinese Journal of Medical Aesthetics and Cosmetology
2012;18(2):125-127
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo introduce a new procedure of penile lengthening which yields satisfactory outcomes and avoids persistent postoperative hydrophallus with the results of fresh body researches.MethodsIndirect intralymphatic injection and routine H-E staining were used to investigate the ramification of lymphatics of penis on fresh bodies.We found that the lymphatic return of penis was primarily mediated by dorsal and bilateral superficial lymph vessels,which converged dorsally at the root of penis and then ramified into the superior region of pubic symphysis and bilateral inguinal grooves.However,most previous incisions were done at the converging region of lymph vessels at the dorsal root of penis.It blocked most lymphatic return.Our modified method avoided interruption of lymph vessels in the converging region.Based on the results of the above investigations,the operative incision at the root of penis was shifted upward by 1.5 cm,and then the lengthened cavernous body of penis was covered by scrotal flap.ResultsEighty patients who accepted the new method achieved satisfactory outcomes.Postoperative hydrophallous decreased gradually from the 3rd day and vanished basically on the 6-7 day.ConclusionsOur modified procedure of penile lengthening reduces the damage of these vessels.Consequently,postoperative hydrophallus resolves fast and the new procedure yields high success rates,sound appearance and sensation of penis.Therefore,the new procedure is an ideal option for surgenons in clinical practice.
