Koyanagi T, Imanaka K, Nonomura K, Togashi M, Asano Y, Tanda K
Department of Urology, Hokkaido University School of Medicine, Sapporo, Japan.
Int Urol Nephrol. 1988;20(2):167-77. doi: 10.1007/BF02550668.
Further experience with one-stage repair of severe hypospadias and scrotal transposition performed in eight patients is reported. Primary success was obtained in six, while one patient was cured by secondary repair. While describing the operative technique with some modifications it was reassured that our parameatal preputial flap is a well vascularized one which can safely and easily be constructed into a neourethra. Advantages of improved "glanulomeatoplasty" and scrotoplasty are also discussed. The method is recommended as highly successful to attain excellent functional and cosmetic results in one stage for severe hypospadias.
本文报告了对8例重度尿道下裂合并阴囊转位患者进行一期修复的进一步经验。6例获得了一期成功，1例经二期修复治愈。在描述手术技术并进行一些改进时，我们确信尿道口包皮瓣血供良好，可安全、轻松地构建成新尿道。文中还讨论了改良“龟头尿道口成形术”和阴囊成形术的优点。该方法被认为在重度尿道下裂一期手术中能非常成功地获得优异的功能和美观效果，因此推荐使用。
