Harris D L, Jeffery R S
Sub-Regional Burns and Plastic Surgery Unit, Derriford Hospital, Plymouth.
Br J Urol. 1989 Apr;63(4):401-7. doi: 10.1111/j.1464-410x.1989.tb05227.x.
An analysis is presented of the outcome in the first 100 patients treated by a new technique for the repair of hypospadias and congenital short urethra associated with chordee. Further reconstructive surgery was required in 24 patients. The effect of the position of the meatus, the length of the reconstructed urethra and the method of urinary drainage are analysed. Minor complications are described. A significantly higher complication rate was associated with a perurethral than with a suprapubic catheter; 5 of the 38 patients in whom a suprapubic catheter was used developed complications requiring reconstructive surgery. Possible causes of the complications are discussed and the results compared with those of other methods. It was concluded that this is a satisfactory method of repair for hypospadias associated with chordee.
本文对采用新技术治疗100例尿道下裂合并先天性短尿道及阴茎下弯患者的治疗结果进行了分析。24例患者需要进一步进行重建手术。分析了尿道口位置、重建尿道长度及尿液引流方法的影响。描述了轻微并发症。经尿道置管患者的并发症发生率显著高于耻骨上膀胱造瘘管患者；38例采用耻骨上膀胱造瘘管的患者中有5例发生了需要重建手术的并发症。讨论了并发症的可能原因，并将结果与其他方法进行了比较。得出结论，这是治疗合并阴茎下弯的尿道下裂的一种令人满意的修复方法。
