Dewan P A, Dinneen M D, Duffy P G, Winkle D, Ransley P G
Department of Urology, Hospital for Sick Children, London.
Br J Urol. 1991 Apr;67(4):420-3. doi: 10.1111/j.1464-410x.1991.tb15170.x.
The pedicle patch urethroplasty provides an alternative single-stage vascularised graft procedure for the repair of moderately severe hypospadias. Over a 7-year period, 38 primary hypospadias repairs were performed employing this technique. The fistula rate was 18% in the 34 patients reviewed, but there were few other significant complications. The operation is recommended when the urethral plate can be preserved and the penis straightened in boys who are unsuitable for a meatal-based flap.
带蒂补片尿道成形术为中度重度尿道下裂的修复提供了一种替代的一期血管化移植手术。在7年的时间里,采用该技术进行了38例原发性尿道下裂修复手术。在接受复查的34例患者中,瘘管发生率为18%,但几乎没有其他严重并发症。对于那些不适合采用尿道口皮瓣手术且尿道板可保留、阴茎可伸直的男孩,推荐进行该手术。