Santanelli F
Department of Plastic Surgery, University of Göteborg, Sahlgrenska Hospital, Sweden.
Ann Plast Surg. 1992 Nov;29(5):413-6. doi: 10.1097/00000637-199211000-00006.
A surgical procedure for hypospadias correction using a proximally based turnover flap, glanuloplasty, and preputium plasty is described. The flap is vertically disposed and distally based on the external urethral meatus, and the shape is spatulated. It is dissected from proximal to distal, turned over, and sutured to the glans to reconstruct the missing portion of urethra. A glanuloplasty is performed and the preputium is restored by careful reconstruction of its inner and outer surface. The technique is useful in distal penile and glanular hypospadias without chordee or meatal stenosis. Very good functional and aesthetic results, and no complications, were obtained with this technique. Preliminary results and a 3-year follow-up are presented and discussed in this report.
描述了一种使用近端蒂翻转皮瓣、龟头成形术和包皮成形术矫正尿道下裂的外科手术方法。该皮瓣垂直设置，远端以尿道外口为蒂，形状呈铲形。从近端向远端进行解剖，翻转后缝合至龟头以重建尿道缺失部分。进行龟头成形术，并通过仔细重建包皮的内、外表面来修复包皮。该技术适用于无阴茎下弯或尿道口狭窄的远端阴茎型和龟头型尿道下裂。采用该技术获得了非常好的功能和美学效果，且无并发症。本报告展示并讨论了初步结果及3年随访情况。
