Boillot B, Lebret T
Service de chirurgie pédiatrique et d'urologie, hôpital Couple-Enfant, CHU Albert-Michallon, 38043 Grenoble cedex, France.
Prog Urol. 2013 Oct;23(12):958-65. doi: 10.1016/j.purol.2013.05.005. Epub 2013 Jul 12.
Reoperating an hypospadias requires a reconstructive strategy that considers the patient's disturbing symptoms, located on the urethra (stenosis, fistula, persistent hypospadias, urethral hair) as well as on cavernous bodies and penile skin. Though experience validates it, this global and gradual approach has been barely described. It takes up latest hypospadiology work through several steps: after urethroscopy, penis is freed from penile skin in order to treat first a potential residual curvature in four steps. Then, the urethral issue is fixed differently according to the state of the penile urethra. In addition, a buccal mucosal urethroplasty will be likely to be occurred, in one or two times.
再次进行尿道下裂修复手术需要一种重建策略，该策略要考虑患者位于尿道（狭窄、瘘管、持续性尿道下裂、尿道毛）以及海绵体和阴茎皮肤的令人困扰的症状。尽管经验证实了这种方法，但这种全面且逐步的方法却鲜有描述。它通过几个步骤承接了最新的尿道下裂修复学工作：在尿道镜检查之后，将阴茎从阴茎皮肤中游离出来，以便分四个步骤首先处理潜在的残余弯曲。然后，根据阴茎尿道的状况以不同方式解决尿道问题。此外，可能会进行一到两次颊黏膜尿道成形术。
