Díaz Naranjo S, Crespo Martínez L, García-Matres M J, González-Chamorro Ladrón de Guevara F
Servicio de Urologia. Hospital Infantil San Rafael. Madrid.Spain.
Arch Esp Urol. 2014 Jan-Feb;67(1):46-53.
Hypospadias is one of the most frequent male congenital anomalies. Its surgical correction is under permanent review and it is always controversial. The best surgical technique can only be chosen intraoperatively, since it is the level of corpus spongiosum division what marks the severity of the case, although it is essential to evaluate position of the meatus, penile curvature, quality of the preputial skin and penile size. It is recommended treatment age between 6-12 months. Nowadays, The most frequently used technique for hypospadias repair is the Snodgrass tubularized incised urethral plate (TIP). Moreover, distal and medial hypospadias may be treated with urethral advance or flap techniques and proximal hypospadias with modifications of these in one-step or two-step procedures. Nevertheless, there are other controversies about hypospadias, such as to preserve or not the prepuce, the use of central or peripheral anesthesia blockade, or the use of wound dressings.
尿道下裂是最常见的男性先天性畸形之一。其手术矫正一直在不断审视中，且始终存在争议。最佳手术技术只能在术中选择，因为海绵体分割的程度决定了病例的严重程度，不过评估尿道口位置、阴茎弯曲度、包皮皮肤质量和阴茎大小也至关重要。建议治疗年龄在6至12个月之间。如今，尿道下裂修复最常用的技术是斯诺德格拉斯管状切开尿道板（TIP）。此外，远端和中段尿道下裂可用尿道推进或皮瓣技术治疗，近端尿道下裂则可在一步或两步手术中对这些技术进行改良。然而，关于尿道下裂还有其他争议，比如是否保留包皮、使用中枢或外周麻醉阻滞，以及使用伤口敷料等。
