Zeidan Smart, Mure Pierre-Yves, Gelas Thomas, Mouriquand Pierre
Service d'Urologie Pédiatrique, Hôpital Debrousse, 29, Soeur Bouvier, 69322 Lyon.
Prog Urol. 2003 Jun;13(3):477-85.
The very large number of surgical techniques described and the inadequate long-term results published for each of them illustrate the difficulty of objective evaluation of hypospadias surgery [9]. Although the majority of surgeons define a satisfactory result as a straight penis without excess skin, regular scars, an apical urethral meatus with a "good" urinary stream, evaluation of these criteria remains very subjective due to the lack of precise, reliable, and standardized methods. The surgeon's criteria of success of this surgery differ significantly from the patient satisfaction criteria [53]. The complication rate reported in the literature therefore varies from 5% to 70% depending on the technique used and the surgeon's honesty.
所描述的大量手术技术以及针对每种技术所公布的不理想长期结果，说明了对尿道下裂手术进行客观评估的困难[9]。尽管大多数外科医生将满意的结果定义为阴茎笔直、无过多皮肤、瘢痕规则、尿道口顶端排尿顺畅，但由于缺乏精确、可靠且标准化的方法，对这些标准的评估仍然非常主观。该手术的外科医生成功标准与患者满意度标准存在显著差异[53]。因此，文献中报道的并发症发生率因所采用的技术和外科医生的诚实度而异，从5%到70%不等。
