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改良管状切开板尿道成形术

Modified tubularized incised plate urethroplasty.

作者信息

Mane Shivaji, Arlikar Jamir, Dhende Nitin

机构信息

Department of Pediatric Surgery, Grant Medical College and Sir JJ Group of Hospitals, Mumbai, India.

出版信息

J Indian Assoc Pediatr Surg. 2013 Apr;18(2):62-5. doi: 10.4103/0971-9261.109354.

DOI:10.4103/0971-9261.109354
PMID:23798808
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3687148/
Abstract

AIM

To share our experience of doing tubularized incised plate urethroplasty with modifications.

MATERIALS AND METHODS

This is a single surgeon personal series from 2004 to 2009. One hundred patients of distal hypospadias were subjected for Snodgrass urethroplasty with preputioplasty. The age range was 1 to 5 year with mean age of 2.7 years. Selection criteria were good urethral plate, without chordee and torsion needing complete degloving. Main technical modification from original Snodgrass procedure was spongioplasty, preputioplasty, and dorsal slit when inability to retract prepuce during surgery.

RESULTS

Average follow-up period is 23 months. Seven (7%) patients developed fistula and one patient had complete preputial dehiscence. Phimosis developed in three (3%) patients and required circumcision. Dorsal slit was required in seven patients. One patient developed meatal stenosis in postoperative period. All other patients are passing single urinary stream and have cosmesis that is acceptable.

CONCLUSIONS

Modified tubularized incised plate urethroplasty with preputioplasty effectively gives cosmetically normal looking penis with low complications.

摘要

目的

分享我们改良管状切开板尿道成形术的经验。

材料与方法

这是一位外科医生在2004年至2009年期间的个人病例系列。100例远端尿道下裂患者接受了带包皮成形术的Snodgrass尿道成形术。年龄范围为1至5岁，平均年龄为2.7岁。入选标准为尿道板良好，无阴茎下弯和扭转，无需完全脱套。与原始Snodgrass手术的主要技术改良包括海绵体成形术、包皮成形术以及手术中无法回缩包皮时的背侧切开。

结果

平均随访期为23个月。7例（7%）患者出现瘘管，1例患者包皮完全裂开。3例（3%）患者发生包茎，需要行包皮环切术。7例患者需要进行背侧切开。1例患者术后出现尿道口狭窄。所有其他患者排尿顺畅，外观可接受。

结论

改良的带包皮成形术的管状切开板尿道成形术能有效使阴茎外观正常，并发症少。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0a6/3687148/3dfd42dfac56/JIAPS-18-62-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0a6/3687148/22bba17dbe0b/JIAPS-18-62-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0a6/3687148/721b8a3d6831/JIAPS-18-62-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0a6/3687148/4cd546bffa42/JIAPS-18-62-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0a6/3687148/5e67aeb10b53/JIAPS-18-62-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0a6/3687148/1c82aa6b6d77/JIAPS-18-62-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0a6/3687148/3dfd42dfac56/JIAPS-18-62-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0a6/3687148/22bba17dbe0b/JIAPS-18-62-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0a6/3687148/721b8a3d6831/JIAPS-18-62-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0a6/3687148/4cd546bffa42/JIAPS-18-62-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0a6/3687148/5e67aeb10b53/JIAPS-18-62-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0a6/3687148/1c82aa6b6d77/JIAPS-18-62-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0a6/3687148/3dfd42dfac56/JIAPS-18-62-g006.jpg

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J Urol. 2006 Aug;176(2):711-4. doi: 10.1016/j.juro.2006.03.082.
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Effect of urethral plate characteristics on tubularized incised plate urethroplasty.尿道板特征对管状切开尿道成形术的影响。
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