[背侧肉成形术治疗闭塞性干燥性龟头炎患者的尿道口狭窄]
[Dorsal meatoplasty for the treatment of meatal stenosis in patients with balanitis xerotica obliterans].
作者信息
Navalón Verdejo Pedro, Pallás Costa Yoni, Juan Escudero Joaquín, Fabuel Deltoro Milagros, Ordoño Domínguez Felipe, Monllor Peidro Elisa, Ramos de Campos Macarena, Ramada Benlloch Francisco
机构信息
Servicio de Urología, Hospital Casa de Salud, Valencia, España.
出版信息
Arch Esp Urol. 2007 Dec;60(10):1.156-1.160. doi: 10.4321/s0004-06142007001000002.
OBJECTIVES
To present our experience in the treatment of meatal stenosis secondary to balanitis xerotica obliterans with the dorsal meatoplasty technique.
METHODS
We have performed dorsal meatoplasty in 15 patients suffering stenosis of the penile meatus secondary to balanitis xerotica obliterans. All cases were performed under local anesthesia, using an inverted V incision plasty following the original of technique from Malone.
RESULTS
All patients showed an improvement in uroflowmetry as well as an excellent aesthetic result, with low incidence of scattered urinary stream; there was a high satisfaction index evaluated by a questionnaire.
CONCLUSIONS
Dorsal meatoplasty with inverted V incision is an easy-to-perform technique, which may be done under local anesthesia, avoids the development of post-operative hypospadias, and achieves excellent aesthetic and functional results with a low recurrence rate; therefore, we consider it should be included in the list of frequently performed procedures of the urologist.
目的
介绍我们应用背侧尿道口成形术治疗闭塞性干燥性龟头炎继发尿道口狭窄的经验。
方法
我们对15例因闭塞性干燥性龟头炎继发阴茎尿道口狭窄的患者实施了背侧尿道口成形术。所有病例均在局部麻醉下进行，采用Malone原始技术的倒V形切口整形术。
结果
所有患者尿流率均有改善，美学效果良好，尿流分散发生率低；问卷调查显示满意度高。
结论
倒V形切口背侧尿道口成形术是一种易于实施的技术，可在局部麻醉下进行，避免术后尿道下裂的发生，美学和功能效果良好，复发率低；因此，我们认为应将其纳入泌尿外科医生常用手术清单。
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