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先天性尿道皮肤瘘——我们对9例病例的经验

Congenital urethrocutaneous fistula-our experience with nine cases.

作者信息

Biswas Siddhartha, Ghosh Dipak, Das Sukanta

机构信息

Departmentof General Surgery, Nilratan Sircar (NRS) Medical College, Calcutta, India.

Departmentof Paediatric Surgery, Medical College, Calcutta, India.

出版信息

Indian J Surg. 2014 Apr;76(2):156-8. doi: 10.1007/s12262-012-0763-6. Epub 2012 Sep 29.

Abstract

Congenital urethrocutaneous fistula is a very rare anomaly with about 40 odd cases reported in literature till 2008 .We present here 9 such cases all of whom were uncircumcised at presentation.7 out of 9 cases had a fistula in the distal shaft and the rest 2 cases had a fistula in the mid-shaft of the penis with an associated chordee.Associated congenital anomaly was present in only one case which had an associated imperforate anus . When the fistula was present distally , we did a primary repair of the fistula which was reinforced by a Bayer's Flap. When the fistula was present in the mid shaft we did a Primary repair of the fistula & reinforced it by a Tunica Vaginalis Flap.

摘要

先天性尿道皮肤瘘是一种非常罕见的畸形,截至2008年,文献报道约有40余例。我们在此呈现9例此类病例,所有病例在就诊时均未行包皮环切术。9例中有7例在阴茎远端有瘘管,其余2例在阴茎中段有瘘管并伴有阴茎下弯。仅1例伴有先天性异常,即肛门闭锁。当瘘管位于远端时,我们对瘘管进行了一期修复,并用拜耳皮瓣加强。当瘘管位于中段时,我们对瘘管进行了一期修复,并用睾丸鞘膜皮瓣加强。

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本文引用的文献

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Urethrocutaneous fistula: a case report.
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