Westenfelder M
Urologische Abteilung, Krankenhaus Maria-Hilf Krefeld.
Urologe A. 1992 Nov;31(6):333-41.
Treatment of all forms of hypospadias is difficult. Several abnormal components have to be differentiated and corrected in a very tight space, in addition to which the blood supply must be preserved and infection prevented. Technical progress now allows early correction (around the age of 12 months) in a single procedure, using methods that date back to the last century. Cosmetic results are as important as functional ones. The glans should be reconstructed around the neomeatus, and the penile shaft should be straight. Microsurgical techniques, short transurethral urinary diversion and reliable dressings are important. Strategies, the sequences of surgical procedures and a selection of practical methods are presented and discussed.
治疗各种类型的尿道下裂都很困难。除了必须在非常狭小的空间内区分并矫正几个异常部分之外，还必须保留血液供应并预防感染。技术进步使得现在可以在单次手术中（大约12个月大时）进行早期矫正，采用的方法可追溯到上世纪。美观效果与功能效果同样重要。龟头应围绕新尿道口进行重建，阴茎体应伸直。显微外科技术、短程经尿道尿液改道和可靠的敷料很重要。本文将介绍并讨论治疗策略、手术步骤顺序以及一些实用方法的选择。
