Ipipi elingcwatshiwe

**Ipipi elingcwatshiwe** (elaziwa nangokuthi **ipipi elifihliwe** noma **ipipi elihoxisayo** ) yisimo sokuzalwa noma esizuziwe, lapho ipipi lifihlwe kancane noma ngokuphelele ngaphansi kwesikhumba.Kwaqala kwachazwa ngu- Edward Lawrence Keyes ngo-1919 njengokungabonakali kobudoda nokuthi kungcwatshwe ngaphansi kwesikhumba sesisu, sethanga, noma sesimfimfithi . Olunye ucwaningo lwenziwa nguMaurice Campbell ngo-1951 ngenkathi ebika ukuthi isitho sangasese sangasese sangcwatshwa ngaphansi kwamafutha angaphansi kwesikhumba, i-perineum, i- hypogastrium kanye nethanga. 

Ipipi elingcwatshiwe lingaholela ekuvinjelweni kokugeleza komchamo, inhlanzeko engeyinhle, ukutheleleka kwezicubu ezithambile, i-phimosis, nokuvimbela ukusebenza kocansi okujwayelekile.

Ipipi elingcwatshwe lihlukile kune-micropenis, okuyinto encane ngokungajwayelekile, i-penis ehleleke ngobude be-penile obeluliwe obungaphansi kokuphambuka okujwayelekile okungu-2.5 ngaphansi kwencazelo yobudala noma isigaba sokukhula kocansi kwesiguli. 

## Izimbangela

### Isizalo
Izimbangela zokuzalwa zingafaka ukungakhuli kahle kwe-penile shaft ngokuntuleka kokunamathiselwe kwesikhumba se-shaft kushaft ye-penile.Yize kungavamile, kungafaka iphedi enkulu yama-pubic enkulu ngokungajwayelekile nezicubu eziqinile ezidonsa umthondo ngaphakathi.Ipipi elingcwatshwe ngokuzalwa lingalungiswa ngokuhlinzwa ebuntwaneni ngokunamathisela i-corpora cavernosa kuma-dartos bundles esisekelweni se-penile. 

### Kutholakele

#### Ukukhuluphala ngokweqile
Yize kungebona bonke abesilisa abakhuluphele kakhulu abanesimo sowesilisa esingcwatshiwe, abesilisa abangama-87% abathole ukwelashwa ngokuhlinzwa kwepipi elingcwatshiwe babikwa ukuthi bakhuluphele.Amafutha asesiswini abaluleke kakhulu nawo angakha indawo ekhuthaza ukukhula kwamagciwane nefungal.Ukukhuluphala kungakhuphula namathuba okuthuthuka kohlobo lwesifo sikashukela sohlobo II, olubonakala ngokwanda kokungenwa yizifo, okwenza kube nzima ukuphumelela futhi ngokushesha ukuphatha isimo sendoda esingcwatshiwe.Ukutheleleka okunjalo okuphindayo nakho kungaholela ekuvikelekeni kwesibazi, okungadala ukuthi isikhumba se-prepubic sigudluzele ngaphezulu komgogodla noglans, ngaleyo ndlela singene esikhunjeni seshaft futhi siholele ethangeni elingcwatshiwe.  

#### I-penoscrotal lymphodema
Ngenkathi kuyimbangela engajwayelekile, i-penoscrotal lymphodema ibangela ukukhubazeka kweshaft ne-scrotum, okuholele ekuthini ipipi elingcwatshwe. 

#### Ukusoka okunolaka ngokweqile
Kokunye ukusoka, ijwabu eliningi kakhulu liyasuswa noma ulayini womthungo uyaqina, kubangele isibazi somzimba, esingabamba umthondo kujwabu elisele noma siwududule umthondo ungene endaweni ye-suprapubic bese uholela epipi elingcwatshiwe. 

#### I-Balanitis xerotica obliterans (BXO)
I-BXO yinqubo engapheli yokuvuvukala kwesikhumba ebangela i-sclerosis ye-glans, shaft, prepuce, noma i-urethra.Lokhu kungaholela ku-cicatrix yomthondo we-distal nokubanjwa kwawo. 

#### I-Dysgenic dartos
I-Dysgenic dartos yisimo esivezwa ukungabi bikho kokuxhaswa kwesiduli kanye nokuqina kwesikhumba sangaphakathi kanye nokuntuleka kokunamathiselwa okufanele phakathi kwama-dartos nepipi.Lokhu kungavumela ipeni ukuthi likwazi "isibonakude" lingene esikhwameni, ngaleyo ndlela lenze ipipi elingcwatshiwe. 

## Ukwelashwa
Abantu abadala abanendoda engcwatshiwe bazophila ngesimo sabo noma benze izinhlelo zokwehlisa isisindo.Kodwa-ke, izinhlelo zokwehlisa isisindo zihamba kancane futhi imvamisa azithi "zithukulule" ipipi; ngaphezu kwalokho, inhlanzeko embi yokuhlangana komchamo ingaholela ekuthelelekeni kwezicubu ezithambile.

Ngenkathi isimo singazixazulula ngaphandle kokungenelela ezinganeni ezisencane kakhulu, iziguli ekugcineni zingadinga ukuhlinzekwa okucacile kokuvuselela nokwelashwa okuphuthumayo uma ukutheleleka kukhona.      Odokotela abahlinzayo abaphatha lesi simo kungaba abahlinzayo be-urologic noma abahlinzayo beplastiki.

Izinketho zokuhlinza zingabandakanya ukuhlukaniswa kwemisipha exhuma isisekelo sendoda ethanjeni le-pubic; ukwenziwa kokufakwa kwezikhumba ukumboza izindawo zepenisi ezidinga isikhumba esingeziwe; i-liposuction isebenzisa i-catheters ukumunca amangqamuzana amafutha ngaphansi kwesikhumba endaweni ezungeze ipipi; isisu esiswini lapho kususwa khona amafutha amaningi nesikhumba esifundeni; i-escutheonectomy lapho kususwa khona iphedi lamafutha ngaphezulu nje kwendawo yenkantini; noma i-panniculectomy lapho kususwa khona i-panniculus, izicubu ezeqile nesikhumba esilenga phezu kwezitho zangasese namathanga.Ku-video ekhombisa ukusetshenziswa kwe-panniculectomy ekulungisweni kwenduku endala engcwatshwe, uDkt.Bryan Voelzke nozakwabo bagcizelele isidingo sokufaka iphedi yamafutha we-suprapubic ku-periosteum ye-symphysis pubis kanye nokubaluleka kokungadonsi phansi ukuhlangana kwepeno-scrotal kanye nokuhlangana kwepeno-kwesisu ukuze nje kuqhubeke ukuveza ipipi. 

INkosi IC, Tahir A, Ramanathan C, Siddiqui H yathuthukisa i-algorithm yokwelashwa eguquliwe esebenzisa inqubo eyodwa yokuhlinza equkethe ikakhulu ukukhishwa kwesibazi kanye nokuhlanganiswa kwesikhumba sowesilisa. 

I-athikili eyashicilelwa ngo-Agasti 2019 nguDkt.James J. Elist ibike ukuthi inqubo ebandakanya ukufakwa kwesikhumba esithambile esenziwe nge-silicone penile yimpumelelo ekubuyiseleni emuva isimo sowesilisa omdala owatholwa umthondo wangcwatshwa. 

## Bhekafuthi

* I-Micropenis
* I-Phalloplasty
* Umthondo oboshiwe

## Izinkomba

## Izixhumanisi zangaphandle

* Izibonelo