埋没ペニスの外科手術
Novel Technique in Buried Penis Reconstruction, ESPU 2018
Buried penisの男性器に対する手術動画
手術を受けた人の87%が肥満体型
不衛生、排尿が難しい、包茎、セックスができないなどの問題を引き起こす
異常に小さいちんぽ(micropens)とは異なる
micropenisは、正常に構成されたっ男性器の勃起時の長さが(性的な発達段階 or 年齢)に対する平均の標準偏差の2.5より小さい人を言う
真正包茎はIntrinsic phimosis
Atmoko, Widi, et al. “How We Do Buried Penis Reconstruction in Children: A Novel Technique.” Advanced Science Letters, vol. 24, no. 8, 2018, pp. 6164–6167. の一部?
Buried penis is a pathology for which several reconstructive techniques are described.
We described a novel technique involving complete separation of dartos fascia from the skin and penis and excision of dartos fascia until penile fixation to pubic region after complete degloving of penis to eradicate the abnormal attachments of the dartos muscle to the corporal bodies and evaluated the efficacy and safety of our technique. 著者らの提案手法を記述した。どんな手法かというと
ペニスの完全なdeglovingを行ったのち
de-glovingは皮を脱いじゃうという意味?基素.icon
dartos筋膜を肌とペニスから完全に剥離し
ペニスが恥骨に固着している部分までdartos筋膜を剥離する
dartos筋肉の胴体への異常な固着を根絶するため
有効性と安全性を評価
この文章、一文が長くて係り受けがむずい基素.icon
Deeplに翻訳「我々は、陰茎の完全な脱皮後、皮膚と陰茎からdartos筋膜を完全に分離し、陰茎が恥骨部に固定されるまでdartos筋膜を切除することで、dartos筋の体部への異常な付着を根絶するという新しい手法を説明し、その有効性と安全性を評価した。」
下線部は誤訳では?基素.icon
「固定されるまで切る」のではなく、「固定されているところまで切る」が正しいはず基素.icon
From June 2009 and February 2015, 28 patients underwent surgical repair of buried penis with our novel technique. We administered a questionnaire asking questions about penile size, morphology, and voiding status to evaluate parental satisfaction. The mean age of patients at the time of operation was 9.50±2.09 years, and the mean duration of follow-up was 23.27±16.75 months. The mean satisfaction grades for penile size, morphology, and voiding function were improve (p < 0.05) (Fig. 2). The mean preoperative satisfaction grade concerning penile size was 0.82±0.76, and it improved postoperatively to 2.67±0.52 at the last follow-up (p < 0.001). The mean preoperative satisfaction grade for penile morphology was 0.86 ± 0.55, which improved to 2.12±0.40 at the last follow-up visit (p < 0.001). The mean preoperative satisfaction grade for voiding function was 1.10±0.72, which improved to 2.94±0.86 at the last follow-up visit (p < 0.001). There were no complications such as postoperative infection and tissue necrosis. Edema developed in 2 patients, but resolved spontaneously after 1 month. Our method of buried penis correction was found to be technically feasible and safe. It results in a good cosmetic appearance and excellent postoperative satisfaction rates in terms of size, morphology, and voiding function. Further research is needed to understand its pathophysiology.
インドネシア大学
このチャンネル、性器の手術動画がたくさん上がっている
4段階評価で術後評価している。サイズの満足度も上がっている