Manzoni Gianantonio, Marrocco Giacinto
Section of Pediatric Urology, Department of Urology, Hospital di Circolo e Fondazione Macchi, Varese, Italy.
Curr Opin Urol. 2007 Jul;17(4):268-71. doi: 10.1097/MOU.0b013e3281ddb31e.
To review recent publications on the surgical treatment of hypospadias failures, including prognostic factors, which may influence final outcome in hypospadias surgery.
Interim good outcomes for single-stage dorsal inlay grafting in patients with multiple failed repairs would suggest a greater role for this new technique over other available options. Slowly emerging long-term data confirm our suspicion that a good result early on is not necessarily indicative of a satisfactory long-term outcome.
Hypospadias surgery remains a considerable technical challenge and improvement will come from the development of specialized units.
回顾近期关于尿道下裂修复失败手术治疗的出版物，包括可能影响尿道下裂手术最终结果的预后因素。
对于多次修复失败的患者，单阶段背侧镶嵌移植术的中期良好结果表明，与其他可用选择相比，这项新技术具有更大的作用。逐渐出现的长期数据证实了我们的怀疑，即早期的良好结果不一定意味着长期结果令人满意。
尿道下裂手术仍然是一项相当大的技术挑战，专业治疗单位的发展将带来改善。
