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采用斜行包皮岛状皮瓣尿道成形术治疗尿道下裂

[Urethroplasty with oblique preputial island flap for the treating of hypospadia].

作者信息

Ou Shan-ji, Liang Pei-yu, Peng Xiao-hui, He Shu-ming, Li Hao-yong, Xiao Jing-zhu

机构信息

Department of Urology, the Affiliated Hospital of Hainan Medical College, Haikou, China.

出版信息

Zhonghua Nan Ke Xue. 2006 Apr;12(4):337-9.

Abstract

OBJECTIVE

To Explore the effect of oblique preputial island flap for the treating of hypospadias.

METHODS

Fifty-one patients were performed one-stage urethroplasty with oblique preputial island flap to repair hypospadias.

RESULTS

All cases resulted in a good contour of the penis without any redundancy and a normal anatomic position of slit-shaped urethral meatus. The urination was perfect. Six patients occurred complications (3 cases of urinary fistula, 3 cases of meatal stenosis).

CONCLUSION

With extensive scope of materials, reliable blood supply of skin flap, satisfactory appearance of shaping penis and few complications, one-stage urethroplasty with oblique preputial island flap is an effective method to repair hypospadias of penile type and penile-scrotal type.

摘要

目的

探讨包皮岛状斜形皮瓣治疗尿道下裂的效果。

方法

51例患者采用包皮岛状斜形皮瓣一期尿道成形术修复尿道下裂。

结果

所有病例阴茎外形良好,无包皮冗余,尿道口呈正常解剖位置,排尿通畅。6例出现并发症(尿瘘3例,尿道口狭窄3例)。

结论

包皮岛状斜形皮瓣一期尿道成形术取材范围广,皮瓣血供可靠,阴茎塑形外观满意,并发症少,是修复阴茎型及阴茎阴囊型尿道下裂的有效方法。

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[One stage repair of scrotal and perineal hypospadias with prepuce island flap].
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Proximal hypospadias with severe chordee: single stage repair using corporeal tunica vaginalis free graft.
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