陰茎亀頭・体部間包皮結合索の1例

Abstract

In February 1980 this 26-year-old man consulted us because of a redundant foreskin. Physical examination revealed a bridge at the dorsum of the penis between the region of the glans, 1 cm from the coronary sulcus, and of the phallus, 2 cm away. The bridge was 1 cm wide, 0.5 cm long, and a sound was easily introduced under it. It was severed and both ends were approximated with 0000 plain catgut. The pathogenesis of this abnormality is considered to be congenital, resulting from localized non-separation of the glans from the prepuce during 11th to 14th embryonic weeks. In our case, as the medical history revealed no inflammatory diseases of the glans and he had noted the condition at the age of 13 years, this abnormality is also considered to be congenital. Although this abnormality is asymptomatic, separation of the bridge is desirable to keep the glans clean.