Chalouhi E, Nemr E, Merhej S, Chaiban R, Moukarzel M
Service d'Urologie à l'Hôtel-Dieu de France, Beyrouth, Liban.
J Med Liban. 1992;40(4):198-201.
With a better understanding of the penile vasculature, many one-stage techniques were proposed for mid-shaft and posterior hypospadias repair including the Duckett's technique with the transverse preputial island flap (TPIF). We performed the Duckett's technique on 25 patients with penile hypospadias with the following results: no cases of meatal stenosis and three cases of urethro-cutaneous fistula (12%). The three cases of urethro-cutaneous fistula were reported in the first 15 patients where the neo-urethra was closed in one layer but no case of fistula was reported in the last 10 patients where the noe-urethra was closed in two layers: the difference is significative (p < 0.05). In conclusion, the Duckett's technique with the two-layer closure technique of the neo-urethra is a good alternative for penile hypospadias repair.
随着对阴茎血管系统有了更深入的了解，人们提出了许多一期修复阴茎中段和后尿道下裂的技术，包括采用横行包皮岛状皮瓣（TPIF）的达克特技术。我们对25例阴茎尿道下裂患者实施了达克特技术，结果如下：无尿道口狭窄病例，有3例尿道皮肤瘘（12%）。3例尿道皮肤瘘出现在前15例患者中，这些患者的新尿道采用单层缝合；而后10例患者的新尿道采用双层缝合，未报告有瘘管病例：差异具有统计学意义（p<0.05）。总之，采用新尿道双层缝合技术的达克特技术是修复阴茎尿道下裂的一个良好选择。
