尿道下裂修复术后尿道口退缩的MAGPI手术

MAGPI procedure in meatal regression after hypospadias repair.

作者信息

Marte A, Di Iorio G, De Pasquale M

机构信息

Department of Paediatrics, Paediatric Surgery, Second University of Naples, Italy.

出版信息

Eur J Pediatr Surg. 2001 Aug;11(4):259-62. doi: 10.1055/s-2001-17153.

DOI:10.1055/s-2001-17153

PMID:11558017

Abstract

OBJECTIVE

To evaluate the efficacy of MAGPI's procedure in children who had a meatal regression after hypospadias repair.

PATIENTS AND METHODS

Twenty-one children affected by post-hypospadias repair meatal regression underwent a modified MAGPI repair between January 1992 and January 1999: the patients, aged between 3 and 12 years (mean 5.9), had previously undergone hypospadias repair according to the techniques of Duplay (11 patients), Mathieu (2 patients), Snodgrass (5 patients) or the onlay buccal mucosa graft (3 patients). The outcome of the procedure was evaluated in terms of urinary stream and cosmetic appearance.

RESULTS

The results were good in 18 patients, fair in 2, unchanged in 1.

CONCLUSIONS

MAGPI's repair has proven to be very effective as a secondary procedure in meatal regression after hypospadias correction, with minimal morbidity and a highly successful outcome in terms of satisfactory functionality and cosmetic appearance, and the recovery of gaps as large as 9 mm.

摘要

目的

评估尿道口成形术（MAGPI）对尿道下裂修复术后尿道口退缩患儿的疗效。

患者与方法

1992年1月至1999年1月期间，21例尿道下裂修复术后出现尿道口退缩的患儿接受了改良的尿道口成形术（MAGPI）：这些患儿年龄在3至12岁之间（平均5.9岁），此前分别根据杜普莱（Duplay）技术（11例）、马蒂厄（Mathieu）技术（2例）、斯诺德格拉斯（Snodgrass）技术（5例）或口腔黏膜覆盖移植术（3例）接受过尿道下裂修复。根据尿流情况和外观对手术结果进行评估。