最近审阅: 27 十月 2020
最近更新: 05 七月 2019

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 新生儿和幼儿
  • 尿道位置异常
  • 包皮不完整
  • 阴茎弯曲和/或扭转
  • 近期生殖器检查或医疗操作
  • 阴茎短小病史
  • 阴茎疼痛和肿胀
  • 包皮黏附于龟头
  • 阴茎黏连和包皮垢
  • 阴茎瘢痕
  • 龟头水肿
  • 耻骨前脂肪垫隆起
  • 存在疝或鞘膜积液

其他诊断因素

  • 用力回缩包皮
  • 性交疼痛
  • 近期阴茎外伤
  • 龟头炎或龟头包皮炎病史
  • 尿路梗阻或尿潴留
  • 阴茎皮肤坏死
  • 龟头变色
  • 阴茎长度不符
  • 泌尿道感染病史
  • 盆腔或泌尿生殖系统手术史
  • 勃起功能障碍

危险因素

  • 包皮未环切的阴茎(嵌顿包茎)
  • 留置导尿管(嵌顿包茎)
  • 父母未觉察到(包茎)
  • 干燥性闭塞性龟头炎(包茎)
  • 阴茎外伤(包茎)
  • 反复发作的龟头炎和龟头包皮炎(包茎)
  • 低出生体重(尿道下裂)
  • 早产(尿道下裂)
  • 母体妊娠期糖尿病、肥胖或高血压(尿道下裂)
  • 家族史(尿道下裂、先天性阴茎弯曲和/或扭转)
  • 肥胖(埋藏阴茎)
  • 包皮环切(阴茎内陷)
  • 阴茎和下腹瘢痕形成(埋藏式阴茎)
  • 疝或鞘膜积液(埋藏式阴茎)

诊断性检查

治疗流程

撰稿人

Nicol Corbin Bush

Co-Director, PARC Urology

Vice-President, Operation Happenis

Frisco

TX

利益声明

NCB declares that she has no competing interests.

Dr Nicol Corbin Bush would like to gratefully acknowledge Dr Nicholas Cost, Dr Linda Baker, and Dr Michael Holzer, previous contributors to this topic. NC, LB, and MH declare that they have no competing interests.

同行评议者展开全部内容

Chair

Department of Urology

The Jack Lapides Professor of Urology

University of Michigan Medical School

Ann Arbor

MI

利益声明

DB declares that he has no competing interests.

Lecturer in Uro-oncology and Consultant Urological Surgeon

Department of Urology

Addenbrooke's Hospital

Cambridge

UK

利益声明

VG declares that he has no competing interests.

Chief

Pediatric Urology

and Professor

Urology and Pediatrics

UCSF Children's Hospital

San Francisco

CA

利益声明

LB declares that he has no competing interests.

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