Liao H B, Hwang R C, Wang C C, Chu M L, Chu C C, Chang S Y
Zhonghua Yi Xue Za Zhi (Taipei). 1989 Oct;44(4):256-60.
We did a retrospective survey on 117 patients with hypospadias to determine what other congenital anomalies were present. We confirm the increasing incidence of chordee with severity of hypospadias. There were many other systemic anomalies associated with hypospadias. We found nongenitourinary tract malformations as follows: neuromuscular 1.7%, gastrointestinal 4.3%, cardiovascular 3.4%, ENT 0.8%, eye 0.8%. The incidence of genitourinary tract anomalies associated with hypospadias was 24.8% (undescended testis 11.1% and hernia 6.0%). Intravenous pyelography should be reserved for a selected group of children with hypospadias with abnormal ultrasonograms or urologic symptomatology. The primary therapeutic approach is surgical. Urethra-cutaneous fistula requiring additional surgery may occur following hypospadias repair in about 29.0% of cases in this paper.
我们对117例尿道下裂患者进行了回顾性调查，以确定还存在哪些其他先天性异常。我们证实了阴茎下弯的发生率随尿道下裂严重程度的增加而上升。尿道下裂还伴有许多其他系统性异常。我们发现的非泌尿生殖道畸形如下：神经肌肉畸形占1.7%，胃肠道畸形占4.3%，心血管畸形占3.4%，耳鼻喉畸形占0.8%，眼部畸形占0.8%。与尿道下裂相关的泌尿生殖道畸形发生率为24.8%（隐睾占11.1%，疝气占6.0%）。静脉肾盂造影应仅用于选定的一组超声检查异常或有泌尿系统症状的尿道下裂患儿。主要治疗方法是手术。在本文中，尿道下裂修复术后约29.0%的病例可能会出现需要再次手术的尿道皮肤瘘。
