Musch M, Mosters M, Klevecka V, Kröpfl D
Klinik für Urologie, Kinderurologie und urologische Onkologie, Kliniken Essen-Mitte, Evang. Huyssens-Stiftung/Knappschaft GmbH, Henricistraße 92, 45136 Essen, Deutschland.
Urologe A. 2011 May;50(5):584-92. doi: 10.1007/s00120-011-2530-x.
The severity of secondary hypospadias can range from a mild cosmetic problem to severe functional impairment. Accordingly, surgical management of the defect can be either simple or extremely demanding. During the operation the penis should always be regarded as a functional unit so that the treatment goal of a good cosmetic and functional result can be achieved. In addition, the surgeon should have an extensive repertoire of operative techniques at his disposal and should be well versed in skin grafting methods so that he is able to adapt the procedure optimally to the intraoperative findings as necessary. If certain do's and don'ts of hypospadias correction are additionally observed good results can usually be obtained even in complicated hypospadias patients with multiple previous operations. Unreflected treatment, on the other hand, usually leads to further worsening of the problem resulting in the so-called hypospadias cripple.
继发性尿道下裂的严重程度可从轻微的外观问题到严重的功能障碍。因此，对该缺陷的手术处理可以简单，也可以极具挑战性。手术过程中，阴茎应始终被视为一个功能单位，以便实现良好的外观和功能效果这一治疗目标。此外，外科医生应掌握多种手术技术，并精通皮肤移植方法，以便能够根据术中发现必要时对手术进行最佳调整。如果额外遵循尿道下裂矫正的某些注意事项，即使是之前接受过多次手术的复杂尿道下裂患者通常也能取得良好效果。另一方面，未经深思熟虑的治疗通常会导致问题进一步恶化，从而产生所谓的尿道下裂致残情况。
