penis extension

Hypospadias refers to the male urethral opening not at the forefront of the penis, but under the glans, the ventral side of the penis, the base of the penis or the perineum. Often accompanied by penile curvature and testicular insufficiency (cryptorchidism), some boys have to urinate in the squatting, and more difficult to distinguish between men and women, causing great suffering to the family. Hypospadias is not uncommon, with about one in every 300 boys. Treatment of diseases: hypospadias of children with hypospadias Indication Lower urethra. Preoperative preparation First, we must identify the gender. Secondly, the perineum should be cleaned with 1:1000 Xinjieer liquid on the 3rd day before surgery, once every night for 10 minutes. The area was shaved 1 day before surgery. People with urinary tract infection should first control the infection. Surgical procedure 1. Position: flat supine position, the legs can be slightly separated. 2. Incision: Use a thin steel wire or a thick thread to penetrate the penis head for traction. The midline of the ventral side of the penis was cut from 0.5 cm below the coronary sulcus to 0.5 cm above the urethral opening. The two sides were added with an additional incision according to the principle of z forming, forming two opposite a and b angles, each about 60°. Add additional incisions to the sides of the incision at the upper end of the incision (no need to make an annular incision). 3. Excision of the fiber band: After the skin is cut, it is separated subcutaneously to form a flap. Lifting the flap reveals the fiber band in the center of the ventral side of the penis. Firstly separated from the two sides to the fascia, sharp separation between the deep fascia of the penis and the white membrane, the fiber band and the dysplastic penile fascia are completely removed, taking care not to damage the white film. When the penis is straightened, if it is found that the tissues under the branches are pulled, it can be cut horizontally. Finally, the penile fascia on both sides of the urethral opening is cut, and the urethral opening is moved back to make the penis completely straight. Intraoperative oozing, can be used to stop bleeding with hot saline gauze, and the active bleeding point can be ligated with 5-0 silk thread. 4. Closed wound: The flap was adjusted and sutured according to the principle of z forming. When the skin is insufficient, it is feasible to transplant medium-thickness skin. If the skin is stretched after the suture is large, the incision can be made on the dorsal side of the penis, and the longitudinal incision is made. The wound is covered with iodoform Vaseline gauze and allowed to heal itself.

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