Ionescu S, Andrei B, Tîrlea S, Amăriuţei O
Clinica de Chirurgie Pediatrică, Spitalul Clinic de Urgenţă pentru Copii M.S. Curie, Bucureşti, România.
Chirurgia (Bucur). 2012 May-Jun;107(3):361-5.
The tubularised incised plate (TIP) is a common surgical technique used in the treatment of hypospadias. The study includes 52 urethroplasties, performed between 2007-2010. We performed Mathieu urethroplasty in 12% of the cases, Duplay urethroplasy in 88% of the cases and we used the Snoodgrass technique in 82% of the cases. The hospital stay varied between 3-8 days after surgery. We included in the study 32 patients with distal penile hypospadias, 8 with proximal hypospadias and 12 with midshaft hypospadias. To prevent fistula formation it is important to perform well sealed sutures, to interpose subcutaneous tissue between the urethroplasty and the cutaneous sutures, not to overlap the urethral and cutaneous sutures. The incidence of urethral fistula after the Duplay procedure was higher then after the Mathieu procedure, but the cases operated by the Duplay technique were manier and more difficult. The complications were more frequent in the cases with proximal hypospadias than in the cases with distal hypospadias, as well as the reintervention rate but not related to the surgical techniques. We present elements of diagnostic, embriology and etiopathogeny of hypospadias.
管状切开板（TIP）是治疗尿道下裂的一种常见外科技术。该研究纳入了2007年至2010年间进行的52例尿道成形术。我们在12%的病例中采用了马蒂厄尿道成形术，在88%的病例中采用了杜普莱尿道成形术，在82%的病例中采用了斯努德格拉斯技术。术后住院时间为3至8天。该研究纳入了32例阴茎远端尿道下裂患者、8例近端尿道下裂患者和12例阴茎中段尿道下裂患者。为防止瘘管形成，重要的是进行良好的缝合，在尿道成形术和皮肤缝合之间插入皮下组织，尿道和皮肤缝合不要重叠。杜普莱手术术后尿道瘘的发生率高于马蒂厄手术，但采用杜普莱技术手术的病例更多且更困难。近端尿道下裂病例的并发症比远端尿道下裂病例更频繁，再次干预率也是如此，但与手术技术无关。我们介绍了尿道下裂的诊断、胚胎学和病因学要素。
