Winship Brenton B, Rushton H Gil, Pohl Hans G
George Washington University School of Medicine, Washington, DC, USA.
Children's National Medical Center, Washington, DC, USA.
J Pediatr Urol. 2017 Jun;13(3):285-288. doi: 10.1016/j.jpurol.2017.01.023. Epub 2017 Mar 15.
Hypospadias is commonly assessed and repaired by pediatric urologists. Mild, distal hypospadias is generally more a cosmetic problem than a functional one and is more frequently encountered than severe, proximal hypospadias. Outcomes following repair, especially of mild phenotypes, are important to understand, but range widely in timing and measurability. Surgical complications, postoperative satisfaction of parents, patients, surgeons and even lay observers, urinary function, sexual function, and quality of life all may be considered as relevant outcomes of hypospadias repair. Existing studies examining these outcomes are diverse in their conclusions, but are important to understand when counseling parents and patients prior to any surgical intervention.
小儿泌尿外科医生通常会对尿道下裂进行评估和修复。轻度的远端尿道下裂通常更多是一个外观问题而非功能问题，并且比严重的近端尿道下裂更常见。修复后的结果，尤其是轻度表型的修复结果，对于理解很重要，但在时间和可测量性方面差异很大。手术并发症、术后家长、患者、外科医生甚至外行观察者的满意度、排尿功能、性功能和生活质量都可被视为尿道下裂修复的相关结果。现有研究对这些结果的结论各不相同，但在任何手术干预前为家长和患者提供咨询时，了解这些研究很重要。
