Ma Geng, Huang Li-Qu
Department of Urology, Children's Hospital of Nanjing Medical University, Nanjing, Jiangsu 210008, China .
Zhonghua Nan Ke Xue. 2022 Apr;28(4):291-294.
Hypospadias is one of the common congenital malformations of the urogenital system in children, with a high incidence and an increasing trend. And the incidence rate of severe hypospadias is increasing year by year, which seriously affects the penile development of the patient. With deepened understanding of hypospadias, accumulated experience in its diagnosis and treatment, and continuous improvement of surgical strategies, the success rate of surgical repair of hypospadias has been elevated to a certain extent. However, quite a few problems remain to be studied, such as the high rate of complications, insufficient understanding of penile curvature, long-term follow-up recurrence of penile curvature, selection of strategic staged surgery, etc. This article analyzes the treatment of severe hypospadias and related problems, and provides some reference for clinicians in surgical repair of severe hypospadias.
尿道下裂是儿童泌尿生殖系统常见的先天性畸形之一,发病率较高且呈上升趋势。重度尿道下裂的发病率逐年上升,严重影响患者阴茎发育。随着对尿道下裂认识的深入、诊断治疗经验的积累以及手术策略的不断改进,尿道下裂手术修复的成功率有了一定程度的提高。然而,仍有不少问题有待研究,如并发症发生率高、对阴茎弯曲认识不足、阴茎弯曲远期随访复发、分期手术策略选择等。本文对重度尿道下裂的治疗及相关问题进行分析,为临床医生重度尿道下裂的手术修复提供一些参考。