| 摘要 |
FIELD: medicine. ^ SUBSTANCE: method involves surgically removing scrotal organs. Tunicas albuginea of penile portion of cavernous bodies are exposed and cut along ventral surface. Cavernous bodies bougienage is carried out via the formed access path separating intracavernous trabecules. The so built cavernous bodies cavities are longitudinally opened. Parietal trabecules fragments are removed. Cavernous body pedicles are cut off distally relative to attachment place to pubic bone arches. Cavernous body tunics and Back fascia are longitudinally cut along dorsolateral surfaces. Integral tissue complex is formed in intracavernous partition area in parallel to penis axis. The complex unites tunicas albuginea fragments of cavernous bodies along their dorsal surface, Back fascia, dorsal portion of intracavernous partition, dorsal neurovascular fascicle, penis skin and spongious glans penis body with neurovascular links being retained between them. Tunica albuginea flap edges and Back fascias are sutured along ventral surface in longitudinal direction, forming rigid bar along the formed tissue complex. Then skin envelope having spongious glans penis tissue inside is introduced into the bed built between urinary bladder and rectum with formed bar placed in parallel arrangement. Proximal part of bar formed from cavernous body tunics is attached to tunica albuginea fragment of cavernous body pedicle on pubic bone surface. ^ EFFECT: enhanced effectiveness of surgical treatment; reduced risk of postoperative complications. ^ 5 dwg |
