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远端尿道下裂手术:导尿管怎么办?

Surgery for distal hypospadias: what about the catheter?

作者信息

Scarpa Maria-Grazia, Perin Giordano, Di Grazia Massimo, Codrich Daniela, Pederiva Federica, Guida Edoardo, Lembo Maria Antonietta, Giannotta Antonio, Schleef Jürgen

机构信息

Pediatric Surgery, Institute for Maternal and Child Health - IRCCS Burlo Garofolo, Trieste.

出版信息

Pediatr Med Chir. 2017 Sep 28;39(3):145. doi: 10.4081/pmc.2017.145.

DOI:10.4081/pmc.2017.145
PMID:29034655
Abstract

No agreed recommendations exist for timing of urethral stent removal, after distal hypospadias surgery. We compared our preliminary case series with outcomes from literature: 18/44 patients were treated with catheter and 26/44 without it. The surgical outcome was comparable in the two groups. After hypospadias surgery, the main advantage of the immediate postoperative catheter removal was the shorter hospital stay without negatively affecting the care and home management.

摘要

对于尿道下裂远端手术后尿道支架取出的时机,目前尚无一致认可的建议。我们将我们的初步病例系列与文献报道的结果进行了比较:44例患者中18例使用了导尿管治疗,26例未使用。两组的手术结果相当。尿道下裂手术后,术后立即拔除导尿管的主要优点是住院时间较短,且不会对护理和家庭管理产生负面影响。

相似文献

1
Surgery for distal hypospadias: what about the catheter?远端尿道下裂手术:导尿管怎么办?
Pediatr Med Chir. 2017 Sep 28;39(3):145. doi: 10.4081/pmc.2017.145.
2
Urethral catheterization in hypospadias surgery: Should the device enter the bladder or be made a urethral stent?
J Pediatr Surg. 2001 Dec;36(12):1829-31. doi: 10.1053/jpsu.2001.28853.
3
Use of a urethral splent in one-stage hypospadias repair.尿道支撑物在一期尿道下裂修复中的应用。
Can J Surg. 1991 Oct;34(5):507-9.
4
Short-term catheterization after TIP repair in distal hypospadias: who are the best candidates?远端尿道下裂TIP修复术后的短期导尿:最佳候选者有哪些?
Pediatr Surg Int. 2007 Mar;23(3):265-9. doi: 10.1007/s00383-006-1830-5. Epub 2006 Nov 9.
5
[Repair of anterior hypospadias with transurethral vesical catheter: comparison of ambulatory surgery with the "between 2 diapers" catheter and traditional hospitalization].
Prog Urol. 1999 Feb;9(1):107-11.
6
Outcome analysis of tubularized incised plate repair in hypospadias: is a catheter necessary?尿道下裂管状切开补片修复术的结果分析:是否需要留置导尿管?
Urol Int. 2013;90(3):354-7. doi: 10.1159/000347127. Epub 2013 Mar 19.
7
"No stent, no diversion" Mathieu hypospadias repair.“无支架,无改道”马蒂厄尿道下裂修复术
Can J Surg. 1993 Apr;36(2):152-4.
8
A novel technique for securing the catheter post hypospadias surgery.一种用于尿道下裂手术后固定导尿管的新技术。
J Plast Reconstr Aesthet Surg. 2012 Jan;65(1):139. doi: 10.1016/j.bjps.2011.08.001. Epub 2011 Aug 19.
9
Tubularized proximally-incised plate in distal/midshaft hypospadias repair.用于远端/中段尿道下裂修复的近端切开管状板
Pediatr Med Chir. 2017 Jun 23;39(2):151. doi: 10.4081/pmc.2017.151.
10
Current trends in the treatment of hypospadias.
Acta Urol Belg. 1997 Dec;65(4):17-23.

引用本文的文献

1
The Impact of Postoperative Urinary Diversion on Surgical Outcomes of Hypospadias Repair: A Systematic Review and Meta-Analysis of Pediatric Literature.术后尿流改道对尿道下裂修复手术结局的影响:儿科文献的系统评价和荟萃分析
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