Huang Yichen, Xie Hua, Lv Yiqing, Yu Ling, Sun Li, Li Xiaoxi, Chen Yan, Sun Huizhen, Chen Fang
Department of Urology, Shanghai Children's Hospital, Shanghai Jiaotong University, China.
Department of Urology, Shanghai Children's Hospital, Shanghai Jiaotong University, China.
J Pediatr Urol. 2017 Jun;13(3):296-299. doi: 10.1016/j.jpurol.2017.02.015. Epub 2017 Mar 16.
To investigate a modified transverse preputial island flap repair which is performed in an attempt to reduce the complications following one-stage repair of proximal hypospadias with chordee.
Briefly, the two ends of the flap were trimmed into V shape and anastomosed with the spatulated urethra proximally and urethral plate distally before tubularization. Then the in situ tubularization of the flap was performed. The procedure was performed in our hospital on 32 patients (mean age = 11 months). They were followed for 12-38 months.
The length of the urethral defect ranged from 4.0-6.0 cm after chordee correction. Urethrocutaneous fistulae occurred in 6 (18.7%) cases. No urethral strictures or meatal stenoses were observed. 29/32 families were satisfied with the cosmetic results.
This procedure seems straightforward and reliable, leading to good result after a short-term follow-up.
研究一种改良的横向包皮岛状皮瓣修复术，旨在减少近端尿道下裂合并阴茎下弯一期修复术后的并发症。
简要来说，在皮瓣管状化之前，将其两端修剪成V形，并分别与近端的尿道吻合口和远端的尿道板进行吻合。然后对皮瓣进行原位管状化。我院对32例患者（平均年龄11个月）实施了该手术。对他们进行了12至38个月的随访。
阴茎下弯矫正后尿道缺损长度为4.0 - 6.0厘米。6例（18.7%）出现尿道皮肤瘘。未观察到尿道狭窄或尿道口狭窄。32个家庭中有29个对外观效果满意。
该手术似乎简单可靠，短期随访后效果良好。
