Zumbé J, Kierfeld G
Abteilung für Urologie, Städtisches Krankenhaus Leverkusen.
Urologe A. 1988 Jul;27(4):246-9.
From 1975 to 1986 34 patients undergoing repair of distal hypospadias between the age of 2 and 11 were explored. Standard method of the one-stage correction of distal hypospadias without or with moderate chordee was the operative technique according to the modification of King. After rolling the urethral groove into a tube the neourethra is covered with an asymmetrical part of dorsal hood. Thus the operative aims such as nonproblematic micturition, normal cohabitation and ejaculation and a good cosmetic result, avoiding psychological problems, can be obtained. The total complication rate was 23.4%; the correction of urethral fistulas in two layers as ambulatory operations was nonproblematic. By using Silastic foam the incidence of postoperative edema could be reduced significantly.
1975年至1986年间，对34例年龄在2至11岁之间接受远端尿道下裂修复术的患者进行了研究。根据金氏改良法，对于无阴茎下弯或伴有中度阴茎下弯的远端尿道下裂进行一期矫正的标准方法是手术技术。将尿道沟卷成管状后，新尿道用背侧包皮的不对称部分覆盖。因此，可以实现诸如排尿无障碍、正常同居和射精以及良好的美容效果等手术目标，避免心理问题。总并发症发生率为23.4%；作为门诊手术的两层尿道瘘矫正并不困难。通过使用硅橡胶泡沫，可以显著降低术后水肿的发生率。
