基于275例应用复合阴茎成形术后实现阴茎增长的个人经验
2016/1/23 创新医学网

     基于275例应用复合阴茎成形术后实现阴茎增长的个人经验

     Composite augmentation phalloplasty: personal experience after 275 patients

     1 目的 Aim

     本文通过回顾之前数名患者用脂肪移植增长阴茎或用应用以悬韧带松懈为基础的复合技术和脂肪移植术的病例,来总结作者在运用阴茎成形术方面的个人经验。

     To report the author's experience in augmentation phalloplasty by studying a retrospective series of patients who underwent fat grafting for girth enhancement or a composite technique based on suspensory ligament release plus fat grafting performed simultaneously.

     2 方法 Methods

     截止2013年11月,作者回顾分析了275例应用阴茎成形术的手术,有259名患者参与这些手术。在这些手术中,有127例与经脂肪移植来的技术相符,148例与复合型阴茎成形术一致(具体包括:经脂肪移植增长阴茎及通过松懈阴茎悬韧使其增长)。对16名患者分别用两种不同的方法来增长阴茎并增加其悬韧带长度。

     The author analyzed retrospectively the outcomes of 275 augmentation phalloplasty procedures performed in 259 patients until November 2013. Of these 259 patients, 127 correspond to girth augmentation with fat grafting and 148 to composite augmentation phalloplasty (girth augmentation with fat grafting and length improvement by suspensory ligament release). In 16 patients girth and length enhancement were performed in two separate procedures.

     3 结果 Results

     在这259名患者中,对87名患者进行术后随访,随访时间至少为12个月;同时,也对160名患者随访,时间至少6个月。6个月里,阴茎平均周长增长了1.7厘米(12个月时为1.57厘米)且平均长度增长了3.2厘米(12个月时为3.1厘米)。尽管有22名患者出现轻微并发症,但经治疗后,患者未出现后遗症并不影响最终结果。

     Of these 259 patients, 87 underwent postoperative follow-up for at least 12 months and 160 patients underwent follow-up for at least 6 months. The average increase in circumference at 6 months was 1.7 cm (1.57 cm at 12 months) and the average increase in length of 3.2 cm (3.1 cm at 12 months). Twenty-two patients showed minor complications that were treated without sequelae and without influencing the final result.

     4 结论 Conclusion

     通过谨慎使用现有技术,发现其可能会实现阴茎的稳定增长。由于阴茎实际体积在增长,故使用复合技术比单一技术取得的效果更好。大多数患者对该手术有过高的预期,所以给予患者充分的知情同意是非常必要的。

     By judicious use of currently available techniques, it is possible to achieve stable increases in penis size. The use of composite techniques provides better final results than the use of individual techniques performed alone due to the increase of the actual volume of the penis. An adequate informed consent is essential in all patients due to the unrealistic expectations expressed by the majority of them.

     5 关键词 Keywords

     脂肪组织;脂肪移植;注脂术;阴茎增长

     Adipose tissue, fat grafting, lipofilling, penis augmentation

     How to cite this article:

     Monreal J. Composite augmentation phalloplasty: personal experience after 275 patients. Plast Aesthet Res 2015;2:27-33

     How to cite this URL:

     Monreal J. Composite augmentation phalloplasty: personal experience after 275 patients. Plast Aesthet Res [serial online] 2015 [cited 2015 Aug 30];2:27-33. Available from: http://www.parjournal.net/text.asp?2015/2/1/27/149374

    

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