Kozyrev G V, Manasherova D T, Abdulkarimov G A
Urological-andrological Department, Russian Childrens Hospital, Moscow, Russia.
Faculty of Fundamental Medicine, Moscow State University, Moscow, Russia.
Urologiia. 2021 May(2):74-77.
Our study aims to improve hypospadias in children by successfully correcting ventral penile curvature.
From 2014 to 2018, 424 patients with ventral penile curvature of 15-60 degrees were treated. All patients were divided into 3 groups depending on the form of hypospadias: Group I consists of 303 patients with subcoronal and midshaft hypospadias; Group II - 48 patients with midshaft hypospadias who earlier underwent urethroplasty; Group III - 73 patients with chordee without hypospadias. To correct ventral curvature in all cases - STAGE technique was applied.
No recurrence of penile curvature was noted in any of the three groups in the early and late post-operative follow-up of up to 1 year.
Ventral curvature penile correction is important for the future sexual life of the patient. Attention should be paid to this stage of the hypospadias repair. STAGE technique allows to correct ventral curvature of 15 - 60 degrees with minimal number of complications.
我们的研究旨在通过成功矫正阴茎腹侧弯曲来改善儿童尿道下裂。
2014年至2018年，对424例阴茎腹侧弯曲15 - 60度的患者进行了治疗。根据尿道下裂的形式，将所有患者分为3组：第一组由303例冠状沟下和阴茎中段尿道下裂患者组成；第二组 - 48例阴茎中段尿道下裂且早期接受过尿道成形术的患者；第三组 - 73例无尿道下裂的阴茎弯曲患者。在所有病例中，均采用STAGE技术矫正腹侧弯曲。
在长达1年的术后早期和晚期随访中，三组中均未发现阴茎弯曲复发。
阴茎腹侧弯曲矫正对患者未来的性生活很重要。在尿道下裂修复的这一阶段应予以重视。STAGE技术能够以最少的并发症矫正15 - 60度的阴茎腹侧弯曲。
