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* * * Journal of Andrology, 24(6):921-927, Nov. 2003 Deep dorsal vein:1 Cavernosal veins:2 Para-arterial veins:4 DDV : 1 CV : 1 PV : 2 The ratio of Artery/vein =1:2 Penile hilum : Pendulous portion 条 静 脉 七 条静脉 双层白膜 ： 纵横二向 动脉:静脉 = 1 : 2 阴茎静脉截除门诊手术(2010) 阴茎静脉截除门诊手术终极版Penile venous stripping (1995-2010） H B A II: Degloving: BMI30, Phimosis II.阴茎弯曲矫正门诊手术 II.阴茎弯曲矫正门诊手术(截弯取直)1997BJU TA:inner circu- lar and outer longitudinal layers. Incomplete septum with dorsal fenestration. Distal ligament Intracavernosal pillars 阴茎白膜: 内环层(内胎) 外纵层(外胎) 远程韧带: 雨伞干 圣诞树干 1985年 的病例 1985-2003阴茎解剖学的探索 男根白膜补缀术所需的补缀面积计算公式(补少取直)Formulas for determining the dimensions of venous graft required for penile curvature correction Int J Androl 29:515-20, 2006 θ/45°, where r is the radius, and θ is the deviation of the curvatures. Patched veins required was 2πrθ?/θ. Hippocrates龟头如面包(发糕):安全气囊? 白膜如内胎:单一层??? 深背静脉:背动脉= 2 : 1 ??? 1985?Inspiration 难经很难? 素问不素? 命根子解剖学 尽信书不 如不信书? 阴茎的三度空間構造Journal of Andrology,25(3):426-431,2004 大 丈 夫 能 屈 能 伸 能 文 能 武 好 医 师 善 心 善 艺 善 导 善 化 ? III.人工阴茎植入门诊手术 I re Distal Ligament in Human Glans: A Comparative Study of Penile Architecture Mammalian penile evolution: Short, long no os penis ? Short os penis: rat; Long os penis: dog, the os penis is a common attribute in quadriceps; No os penis??Os penis analog because the distal ligament exists in erect animals ! Human beings RAT DOG Human beings 1991 UCSF Prof. Tom F Lue 2003 National Taiwan University Flipping action to remove semen plug deposited by former males. (brothers in hole) Common property of a couple IV.精索静脉曲张门诊手术 手術實況圖 DDV Aponeurosis 9 9 3 3 V.真正的阴茎延长或加大门诊手术 3 VI.已植入人工阴茎患者的延长或加大门诊手术 VI.已植入人工阴茎患者的延长或加大门诊手术 (2) 手术成功关键: 1.解剖学新知 2.忌用电烧 3.超显微功夫 4.体力 5.耐力+GUT Materials for initial drill: fresh broad leaf ?surgical glove?ureter ?vas deferens ?nerve tissue ?Vessels ? ? penis ?Kidney? sper