Diao B, Fall P A, Ndoye A K, Diallo Y, Sow Y, Diabaté I, Niang L, Guèye S M, Diagne B A
Service d'Urologie-Andrologie du Centre Hospitalier Universitaire A. Le Dantec de Dakar-Sénégal.
Dakar Med. 2006;51(3):151-4.
Anterior hypospadias is estimated to 60-71% of whole hypospadias. The treatment is delicate and expose to iterative cures. The aim of this study is to review therapeutic aspects of anterior hypospadias of which treatment are first performed by one-stage repair in two departments of urology from Dakar.
It's a retrospective study reporting 40 cases of anterior hypospadias operated between January 1988 and December 2002. Therapeutic results were judged according following criteria: quality of orthoplasty, cosmetic aspect, situation of neo-urethral meatus, permeability of urethra and existence of fistula or not. The results were classified good, mean or worse.
The following techniques were used: Mathieu (18 cases), Duplay (14), MAGPI (Meatal Avancement and Glandulo-Plasty Incorporated) 2 cases, Mustarde (2 cases), TGUA (Trans Glandular Urethral Avancement) 4 cases. The mean age of patients was 7,2 years (5 months-19 years). The hypospadias was granular (5%), subcoronar (25%), and anterior penile (70%). Results were good in 62, 5% of cases and worse in 20% of cases.
In our way of work, for improving the treatment of anterior hypospadias, it is necessary to have microsurgical material and to modify the urinary drainage mode.
阴茎头型尿道下裂估计占整个尿道下裂的60 - 71%。其治疗精细且可能需要反复治疗。本研究的目的是回顾阴茎头型尿道下裂的治疗情况，在达喀尔的两个泌尿外科科室首次采用一期修复进行治疗。
这是一项回顾性研究，报告了1988年1月至2002年12月期间接受手术的40例阴茎头型尿道下裂病例。根据以下标准判断治疗结果：阴茎头成形质量、外观、新尿道口情况、尿道通畅性以及是否存在瘘管。结果分为良好、中等或较差。
采用了以下技术：马蒂厄术式（18例）、迪普莱术式（14例）、MAGPI（尿道口前移和阴茎头成形联合术）2例、马斯塔德术式（2例）、TGUA（经阴茎头尿道前移术）4例。患者的平均年龄为7.2岁（5个月至19岁）。尿道下裂类型为颗粒状（5%）、冠状沟下型（25%）和阴茎前段型（70%）。62.5%的病例结果良好，20%的病例结果较差。
在我们的工作方式中，为改善阴茎头型尿道下裂的治疗，有必要配备显微外科材料并改变尿液引流方式。
