BAGHDAD UNIVERSITY, BAGHDAD, IRAQ.
ALNAJAF TEACHING HOSPITAL, NAJAF, IRAQ.
Wiad Lek. 2023;76(5 pt 1):978-983. doi: 10.36740/WLek202305114.
The aim: In this study, we present and evaluate the vest-over-pants technique as a simple way to correct urethrocutaneous fistulas after hypospadias.
Materials and methods: Between October 2018 and June 2020, twenty male patients aged 5 to 20 years came to us with post hypospadias repair fistula, these patients underwent vest-over-pant repair of their fistula. The size of fistula was ranging between 2.5-5 mm. The distribution of fistula was coronal (3 patients), distal penile (9 patients), midshaft (2 patients) and proximal penile (6 patients). In 14 patients there were single fistula and 6 patients had more than one fistula. Eleven of patients were exposed to a previous failed fistula repair procedure.
Results: Six months after the operation, the fistula recurred only in 2 patients, and our operation was successful in 90% of cases without complications.
Conclusions: The vest-over-pants technique is a simple and effective way to treat penile fistulas after hypospadias in properly selected patients. It is a technically simple procedure with a short learning curve and no major postoperative complications.
本研究旨在介绍并评估一种简单的方法，即使用背心裤衩技术来修复尿道下裂术后的尿道皮肤瘘。
2018 年 10 月至 2020 年 6 月期间，20 名年龄在 5 至 20 岁的男性患者因尿道下裂修复术后瘘管来我院就诊，这些患者接受了背心裤衩修复瘘管。瘘管大小为 2.5-5 毫米。瘘管分布为冠状位（3 例）、阴茎远端（9 例）、中轴位（2 例）和阴茎近端（6 例）。14 例患者为单发瘘管，6 例患者有多个瘘管。11 例患者曾接受过一次失败的瘘管修复手术。
术后 6 个月，仅 2 例患者瘘管复发，我们的手术成功率为 90%，无并发症。
背心裤衩技术是一种简单有效的治疗方法，适用于选择合适的患者的尿道下裂术后阴茎瘘管。它是一种技术简单、学习曲线短、术后无严重并发症的方法。
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