Rabinowitz R
Department of Urology, Strong Memorial Hospital, Rochester, New York.
J Urol. 1987 Oct;138(4 Pt 2):1074-6. doi: 10.1016/s0022-5347(17)43506-3.
Distal penile hypospadias was repaired in 59 boys with a modification of the Mathieu technique. Since a watertight urethroplasty is performed without overlying suture lines, catheter drainage and urinary diversion may not be necessary and they were not used in any patient. Penile nerve block and a small dressing allowed for postoperative mobilization. An excellent cosmetic and functional result was achieved with few complications, even in boys who had had prior unsatisfactory repairs. Because the children are ambulatory postoperatively and tolerate voiding through the repair, this procedure often is performed on an outpatient basis.
采用改良的马蒂厄技术为59名男孩修复了远端阴茎型尿道下裂。由于在不覆盖缝线的情况下进行了防水尿道成形术，可能无需留置导尿管引流和尿液改道，且未在任何患者中使用。阴茎神经阻滞和小敷料便于术后活动。即使是之前修复效果不理想的男孩，也取得了极佳的外观和功能效果，并发症很少。由于患儿术后可自由活动且能耐受通过修复后的尿道排尿，该手术通常在门诊进行。
