Kass E J, Bolong D
Division of Pediatric Urology, William Beaumont Hospital, Royal Oak, Michigan.
J Urol. 1990 Aug;144(2 Pt 2):520-2; discussion 530. doi: 10.1016/s0022-5347(17)39510-1.
During a 3 1/2-year period 206 consecutive patients underwent primary hypospadias repair. Of the patients 117 were 6 to 18 months old, 65 were 18 months to 5 years old and 24 were older than 6 years. In 175 patients a single stage reconstruction was performed using a vascularized skin flap for the neourethra. A modified 2-layer closure with optical magnification was performed, and a urethrocutaneous fistula developed in only 1 patient, who had undergone a single stage repair of perineal hypospadias. With the use of contemporary single stage hypospadias reconstructive techniques and a 2-layer closure of the neourethra, urethrocutaneous fistula can virtually be eliminated.
在3年半的时间里，连续206例患者接受了原发性尿道下裂修复术。其中，117例患者年龄在6至18个月之间，65例患者年龄在18个月至5岁之间，24例患者年龄超过6岁。175例患者采用带血管蒂皮瓣进行新尿道的一期重建。采用改良的两层缝合并在手术放大镜下进行操作，仅1例接受会阴型尿道下裂一期修复的患者发生了尿道皮肤瘘。采用当代尿道下裂一期重建技术和新尿道两层缝合，几乎可以消除尿道皮肤瘘。
