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[Current trends in the management of primary hypospadias: indication for surgery and surgical goal].

作者信息

Riccabona M

机构信息

Abteilung für Kinderurologie, Krankenhaus der Barmherzigen Schwestern Linz, Seilerstätte 4, A-4010 Linz, Österreich.

出版信息

Urologe A. 2011 May;50(5):579-83. doi: 10.1007/s00120-011-2529-3.

DOI:10.1007/s00120-011-2529-3
PMID:21557046
Abstract

The therapeutic goal of surgical correction of hypospadias is the reconstruction of the primary malformation into a normal penis. Nowadays the operation is timed around the first birthday of the infant. The procedure is performed in different operative steps depending on the individual components to hypospadias. The current trend is to preserve and tubularize the urethral plate and to stage the procedure in proximal hypospadias with severe chordee. The perioperative management includes modern paediatric anaesthesia methods in combination with regional anaesthesia, urinary drainage into a double diaper and to waive the fixation of the baby at the bed.

摘要

相似文献

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引用本文的文献

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[Distal hypospadias: Current therapeutic approach and various aspects of follow-up].[远端尿道下裂:当前的治疗方法及随访的各个方面]
Urologe A. 2015 May;54(5):628-33. doi: 10.1007/s00120-015-3791-6.

本文引用的文献

1
Tubularized incised plate proximal hypospadias repair: Continued evolution and extended applications.管状切开板近端尿道下裂修复:持续发展和广泛应用。
J Pediatr Urol. 2011 Feb;7(1):2-9. doi: 10.1016/j.jpurol.2010.05.011. Epub 2010 Jul 2.
2
Tubularized incised plate hypospadias repair for distal hypospadias.管状切开板尿道下裂修复术治疗尿道下裂。
J Pediatr Urol. 2010 Aug;6(4):408-13. doi: 10.1016/j.jpurol.2009.09.010.
3
Is there an ideal age for hypospadias repair? A pilot study.尿道下裂修复是否存在理想年龄?一项初步研究。
J Pediatr Urol. 2009 Oct;5(5):345-50. doi: 10.1016/j.jpurol.2008.12.008. Epub 2009 Jan 30.
4
Autologous in vitro cultured urothelium in hypospadias repair.自体体外培养尿路上皮用于尿道下裂修复。
J Pediatr Urol. 2007 Feb;3(1):10-8. doi: 10.1016/j.jpurol.2006.01.018. Epub 2006 Apr 19.
5
[Correction of hypospadias by the Snodgrass method. Indications and results].[应用斯诺德格拉斯法矫正尿道下裂。适应症与结果]
Urologe A. 2007 Dec;46(12):1664-9. doi: 10.1007/s00120-007-1584-2.
6
Comparative analysis of tubularized incised plate versus onlay island flap urethroplasty for penoscrotal hypospadias.管状切开板与覆盖岛状皮瓣尿道成形术治疗阴茎阴囊型尿道下裂的对比分析
J Urol. 2007 Oct;178(4 Pt 1):1451-6; discussion 1456-7. doi: 10.1016/j.juro.2007.05.170. Epub 2007 Aug 16.
7
A multicenter evaluation of technical preferences for primary hypospadias repair.原发性尿道下裂修复技术偏好的多中心评估
J Urol. 2005 Dec;174(6):2354-7, discussion 2357. doi: 10.1097/01.ju.0000180643.01803.43.
8
Timing of elective surgery on the genitalia of male children with particular reference to the risks, benefits, and psychological effects of surgery and anesthesia. American Academy of Pediatrics.
Pediatrics. 1996 Apr;97(4):590-4.