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​包皮手术没做好怎么办 - What does wrapping operation do not do well?

文章导读

包皮手术是切断长的包皮,即直接在阴茎背面切口,然后在横向切开一圈多余的包皮。包皮手术没做好怎么办,太长的包皮常常影响夫妻之间的性生活,因为长的包皮会覆盖男性龟头男性最敏感的部分因此在性交过程中不能得到更强的刺激,导致性生活不协调。双方都不能很开心。

​包皮手术没做好怎么办 - What does wrapping operation do not do well?

麻醉方式

成人用阴茎根部阻滞麻醉;小儿用基础麻醉加局部浸润麻醉或全身麻醉。

▍术前准备

1.清洗外阴部及包皮腔。包茎者可用钝针头或小塑料管插入包皮腔,注入消毒液冲洗。

2.术前1天或当天剃除阴毛。

3.术前检查凝血功能,普鲁卡因皮肤过敏试验。

​包皮手术没做好怎么办 - What does wrapping operation do not do well?

▍适应证

1.包茎。

2.嵌顿包茎经整复术后,炎症水肿已消退,感染已控制者。

3.包皮过长,包皮口较小,虽能翻转,但易造成嵌顿包茎者。

4.包皮过长,反复发生包皮阴茎头炎,而急性感染已控制者。

5.包皮良性肿瘤。

6.过长的包皮反复或多处生长尖锐湿疣。

7.早期阴茎癌,病变较小,仅限于包皮,没有深部浸润,无淋巴结转移。

​包皮手术没做好怎么办 - What does wrapping operation do not do well?

禁忌

1.急性化脓性及淋菌性阴茎头包皮炎及包茎感染。

2.尿道下裂患者。

3.有严重出血倾向者。

▍手术方法

1.包皮内外板一次环切法

(1)分离包皮阴茎头粘连:检查包皮、阴茎头是否有粘连,若出现粘连先将其分离。

(2)牵引固定包皮:将包皮置于自然位置,在包皮背侧正中及腹侧正中分别用两把血管钳夹住。

(3)设计好切口,纵行剪开背腹侧包皮。

(4)环切包皮。

(5)缝合切口:将包皮内外板对位缝合。

2.内外板分别环切法

(1)画出外板切口线并切开:在包皮无张力的情况下,在冠状沟远侧约0.5cm的包皮处,画出与冠状沟平行的外板切口线。

(2)画出内板切口线并切开:将包皮翻转到冠状沟上方,显露出冠状沟,将包皮内板拉平,在冠状沟的近侧约0.5cm处,画出与冠状沟平行的内板切口线。

(3)切除包皮:沿包皮外板、内板画出的切口线,用尖刀切开皮肤,再在包皮背侧中线处作一纵形切口,以连接内外板之间的横形切口。


Reading guide

Prepuce surgery is to cut off the long foreskin, that is, directly in the back of the penis incision, and then transversely cut a circle of redundant prepuce. Prepuce surgery is not done well how to do, too long foreskin often affect the sexual life between husband and wife, because long foreskin will cover the most sensitive part of the male glans, so in the process of sexual intercourse can not get stronger stimulation, resulting in sexual imbalance. Neither side can be very happy.

​包皮手术没做好怎么办 - What does wrapping operation do not do well?

Anaesthesia

Adult patients were treated with block anesthesia of the penis, and basic anesthesia combined with local infiltration anesthesia or general anesthesia for children.

Preoperative preparation

1. cleaning the vulva and prepuce cavity. Phimosis can be inserted into the foreskin with blunt needle or small plastic tube, and then injected with disinfectant.

2. shaving pubic hair 1 days before operation.

3. preoperative examination of coagulation function, procaine skin allergy test.

​包皮手术没做好怎么办 - What does wrapping operation do not do well?

Indications

1. phimosis.

2. after incarcerated phimosis, inflammatory edema has subsided and infection has been controlled.

3. prepuce is too long, the prepuce mouth is small, although can turn over, but easy to cause incarcerated phimosis.

4. redundant prepuce, recurrent prepuce penile inflammation, and acute infection control.

5. prepuce benign tumor.

6. excessive circumcision or multiple growth of condyloma acuminatum.

7. early penile cancer, with less lesions, is restricted to foreskin, without deep infiltration and without lymph node metastasis.

​包皮手术没做好怎么办 - What does wrapping operation do not do well?

Taboo

1. acute suppurative and gonococcal penile foreskin and phimosis.

2. hypospadias.

3. patients with severe bleeding tendency.

Operative method

1. circumcision of prepuce internal and external plates

(1) Separate the adhesion of the foreskin and the head of the penis: check whether there is adhesion between the foreskin and the head of the penis.

(2) traction and fixation of prepuce: placing the prepuce in a natural position and clamping the prepuce with two vascular forceps in the middle of the dorsal and ventral foreskin respectively.

(3) design the incision and longitudinally cut the dorsal abdominal foreskin.

(4) circumcision foreskin.

(5) suture incision: suture and suture of prepuce internal and external plates.

2. inner and outer plates are cut separately.

(1) Draw the line of incision of the outer plate and cut it: draw the line of incision of the outer plate parallel to the coronary sulcus at the foreskin of 0.5 cm distal to the coronary sulcus without tension.

(2) Draw the incision line of the inner plate and cut it: turn the epidermis over the coronary sulcus, expose the coronary sulcus, flatten the inner plate of the epidermis, draw the incision line of the inner plate parallel to the coronary sulcus at the proximal side of the coronary sulcus about 0.5 cm.

(3) Removal of the prepuce: along the line of incision drawn by the outer and inner plates of the prepuce, cut the skin with a sharp knife, and then make a longitudinal incision in the middle line of the back of the prepuce to connect the transverse incision between the inner and outer plates.

​包皮手术没做好怎么办 - What does wrapping operation do not do well?:等您坐沙发呢!

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