小児の真性包茎に対する両側 Z 形成術の検討

概要

論文の詳細を見る
Four operative procedures for phimosis ; dorsal slit, circumcision, longitudinal incision and transverse suture (LITS) and bilateral Z plasty have been performed in our institute. Postoperative deformity of prepuce often causes psychiatric problem for children and even families in Japan. Thereforoe, we now carry out the bilateral Z plasty, not to expose glans permanently, but only to dilate the orifice of prepuce, for phimosis in infant and children. We investigated the postoperative result of Z plasty by sending a questionnaire to the parents and examining the patients in our institute. The questionnaire showed the highest satisfaction rate (92.4%) in the case of Z plasty. On the other hand, the rates were 66.7% in dorsal slit, 80% in LITS, 0% in circumcision. A assessment of appearance of prepuce also revealed the Z plasty was more preferable procedure. Accordingly, we concluded that the Z-plasty was the most suitable procedure for phimosis in infant and children in Japan.
1991-10-20