Man D W
Department of Surgery, Chinese University of Hong Kong, Prince of Wales Hospital.
Aust N Z J Surg. 1987 Sep;57(9):647-50. doi: 10.1111/j.1445-2197.1987.tb01442.x.
Our experience with primary hypospadias repair by single stage technique is reviewed. The transverse preputial island flap is most versatile and can be used for hypospadias varying in severity from the subcoronal to the perineal types. In this study, this technique carried a fistula rate of 14%. Glanular and coronal hypospadias were corrected by the technique of meatal advancement and glanuloplasty (MAGPI) which had a zero fistula rate. An overall fistula rate of 7.5% is considered acceptable. Single stage repair should be considered standard practice in the management of hypospadias repair. A brief description is given of the procedure of transverse preputial island flap repair.
回顾我们采用单阶段技术修复原发性尿道下裂的经验。横行包皮岛状皮瓣用途最为广泛，可用于修复从冠状沟下型到会阴型不等的各种严重程度的尿道下裂。在本研究中，该技术的瘘管发生率为14%。龟头型和冠状沟型尿道下裂采用尿道口前移阴茎头成形术（MAGPI）进行矫正，该技术的瘘管发生率为零。总体7.5%的瘘管发生率被认为是可以接受的。单阶段修复应被视为尿道下裂修复治疗的标准做法。本文简要描述了横行包皮岛状皮瓣修复术的操作过程。
