Sowande A O, Olajide A O, Salako A A, Olajide F O, Adejuyigbe O, Talabi A O
Department of Surgery, Ladoke Akintola University of Technology Teaching Hospital, Osogbo, Osun State, Nigeria.
Afr J Paediatr Surg. 2009 Jan-Jun;6(1):40-3. doi: 10.4103/0189-6725.48575.
To review our experience with the use of transverse preputial island flap in the repair of hypospadias in the paediatric surgical unit of our University Teaching Hospital, Nigeria.
We reviewed the cases of hypospadias managed by transverse preputial island flap repair over a ten year period (1996 and 2006) in the paediatric surgical unit of our institution. Data was retrieved from the case notes and analysed.
Fifty-one patients had hypospadias repair during the period, 22 of whom were by transverse preputial island flap repair. Hypospadisas were in penile shaft in 16 (72.7%), penoscrotal in 5 (22.7%) and perineal in 1 (4.55%). All the patients had intact prepuce at presentation and chordee was present in 18 (81.8%). The commonest complication was urethrocutaneous fistula in five patients, which closed spontaneously in three leaving 2 patients (9.1%) with persistent urethrocutaneous fistular.
Transverse preputial island flap urethroplasty remains a viable option in the management of hypospadias especially when the meatal opening is proximal, with associated chordee limiting the options in the repair.
回顾在尼日利亚某大学教学医院小儿外科使用横行包皮岛状皮瓣修复小儿尿道下裂的经验。
我们回顾了在本院小儿外科10年期间（1996年至2006年）采用横行包皮岛状皮瓣修复术治疗的尿道下裂病例。从病历中检索数据并进行分析。
在此期间有51例患者接受尿道下裂修复术，其中22例采用横行包皮岛状皮瓣修复术。尿道下裂位于阴茎体部16例（72.7%），阴茎阴囊型5例（22.7%），会阴型1例（4.55%）。所有患者就诊时包皮均完整，18例（81.8%）伴有阴茎下弯。最常见的并发症是尿瘘，5例患者出现尿瘘，其中3例自行愈合，2例（9.1%）持续性尿瘘。
横行包皮岛状皮瓣尿道成形术仍是治疗尿道下裂的一种可行选择，尤其是当尿道口开口位置靠近近端且伴有阴茎下弯限制修复选择时。
