From June 1993 to October 2001, in Central Institute of Pediatrics and Viet Duc Hospital, 13 cases of plastic surgery were performed to restore the clitoris and vagina. Among them, 12 female patients with virilisant adrenogenital syndrome had had indication of clitoris restoration surgery, 1 patient with true hermaphrodism. The restored clitoris accessed proper size with normal development and sensation
Surgery, Plastic ; Mucous Membrane ; Vagina ; Penis

Adult ; Humans ; Male ; Penis ; injuries ; surgery ; Rupture ; surgery

We used the method of partial penectomy combined with penis lengthening to treat 2 cases of penile cancer. The penile lengths were lengthened by 3-4 cm. This method could retain the penis and sexual function to the maximum degree. And a few patients could avoid total penectomy and micturate on their feet. This operation is very simple and safe, with no complication.
Aged ; Humans ; Male ; Middle Aged ; Penile Neoplasms ; surgery ; Penis ; surgery

Humans ; Hypospadias/surgery* ; Male ; Penis/surgery* ; Urologic Surgical Procedures, Male

OBJECTIVETo introduce a new procedure for repairing coronal or subcoronal hypospadias with severe chordee.

METHODSA modified technique of elongating the anterior urethra, combined with the MAGPI procedure, was used to repair the coronal or subcoronal hypospadias in 19 severe chordee patients (aged 5 to 12 years). The fibrous bands on the ventral aspect of the penis were excised to correct the chordee. If the penile curvature still remained, the corpora cavernosa dissection and elongation could be applied.

RESULTSAll of the patients were successfully treated by this procedure in one stage.

CONCLUSIONSThe modified technique of the anterior urethra elongation, combined with MAGPI procedure, might be one of the simple and effective method for repairing coronal or subcoronal hypospadias with severe chordee.

Child ; Child, Preschool ; Humans ; Hypospadias ; surgery ; Male ; Penile Diseases ; surgery ; Penis ; surgery ; Urethra ; surgery

Penile augmentation is an important part of penile surgery, the demand for and supply of which has increased because of mens desire for a larger penis. There is some controversy about the rationality of this operation, because the surgical indications and standardization of surgical techniques are not confirmed. Nevertheless, the clinical necessity for penile augmentation is beginning to be accepted as is aesthetic surgery in women. Penile augmentation is performed mainly by using dermal fat grafting for girth enhancement and skin reconstruction or ligament release for lengthening. Several new techniques and modification have been introduced. This review describes recent advances in the field of penile augmentation surgery.
Female ; Humans ; Ligaments ; Male ; Penis ; Skin ; Surgery, Plastic ; Transplants

The penis is an important genitourinary organ, whose deficiency not only causes physiological dysfunction but inflicts mental and psychological traumas to the patient. Ideal phalloplasty should address the following requirements: (1) It should give a good shape; (2) It should ensure appropriate size and sexual intercourse; (3) It should make the phallus sensitive to both touching and sexual desire; (4) The donor site morbidity should be inconspicuous. To satisfy the above-mentioned requirements, doctors both at home and abroad have made increasing efforts for the improvement of phalloplasty. Recent progress in phalloplasty is reviewed in this article.
Humans ; Male ; Penis ; surgery ; Reconstructive Surgical Procedures ; methods

Male ; Humans ; Child ; Penis/surgery* ; Urologic Surgical Procedures, Male/methods*

Male ; Humans ; Child ; Penis/surgery* ; Urologic Surgical Procedures, Male/methods*

BACKGROUNDIn order to improve the clinical treatment level of urinary system injury, it is necessary to build up an animal model of urinary system wound, which is not only analogous to real clinical practice, but also simple and practical.

METHODSWe have developed the third generation of firearm fragment wound generator based on the first and the second producer. The best explosive charge of the blank cartridge was selected by gradient powder loading experiments. The firearm fragment injuries were made to the bulbous urethra of 10 New Zealand male rabbits. One week preoperatively and 2, 4 and 8 weeks postoperatively, all the animals underwent urethroscopy and urethrography. At 2, 4 and 8 weeks postoperatively, two animals were randomly selected and killed, and the urethra was cut off for pathological examination.

RESULTSThe shooting distance of the third generation of firearm fragment wound generator is 2 cm. The best explosive charge of the blank cartridge is 1 g of nitrocotton. All rabbits survived the procedures and stayed alive until they were killed. Injuries were limited to bulbous urethra and distal urethra. Round damaged areas, 1-1.5 cm in length, on the ventral wall were observed. Ureteroscopy results showed that canal diameter gradually shrank by over 50% in 9 rabbits. The rate of success was 90%. Urethrography result noted that a 1-1.3 cm stricture was formed at the bulbous urethra. Histology results of injured stricture urethra showed that fibrous connective tissue hyperplasia and hyaline degeneration caused further stricture in the canal.

CONCLUSIONSThe third generation of firearm fragment wound generator imitates the bullet firing process and is more accurate and repeatable. The corresponding rabbit model of traumatic complex urethral stricture simulates the real complex clinical conditions. This animal model provides a standardized platform for clinical researches on treating traumatic injuries to the urinary system.

Animals ; Disease Models, Animal ; Male ; Penis ; surgery ; Rabbits ; Urethra ; surgery ; Urethral Stricture ; surgery