Yamataka Atsuyuki, Shimotakahara Akihiro, Koga Hiroyuki, Miyano Go, Lane Geoffrey J, Cazares Joel, Halibieke Abudebieke, Okawada Manabu
Department of Pediatric General and Urogenital Surgery, Juntendo University School of Medicine, 2-1-1 Hongo, Bunkyo-ku, Tokyo, 113-8421, Japan.
Pediatr Surg Int. 2012 Sep;28(9):919-23. doi: 10.1007/s00383-012-3143-1.
Urethrocutaneous fistula is a common complication after redo urethroplasty for hypospadias, or urethroplasty for patients with thin urethral plate. We modified Snodgrass' tubularized incised plate urethroplasty (STIPU) by stripping the most superficial skin from both sides of the U-shaped incision to expose more subcutaneous tissue along the suture line. Our modified STIPU would appear to be effective in preventing postoperative urethrocutaneous fistula formation in redo urethroplasty for hypospadias, and urethroplasty for patients with thin urethral plate.
尿道皮肤瘘是尿道下裂再次尿道成形术或尿道板薄的患者进行尿道成形术后的常见并发症。我们对Snodgrass管状切开板尿道成形术（STIPU）进行了改良，方法是从U形切口两侧剥离最表层的皮肤，以暴露缝合线沿线更多的皮下组织。我们改良的STIPU似乎能有效预防尿道下裂再次尿道成形术以及尿道板薄的患者进行尿道成形术后的尿道皮肤瘘形成。
