Livne P M, Savir A, Servadio C
Isr J Med Sci. 1986 Jul-Aug;22(7-8):547-50.
Current experience with hypospadias repair in 77 boys during a 1-year period is presented. Thirty-nine with distal hypospadias underwent meatal advancement and glanuloplasty (MAGPI), 18 with more proximal lesion were repaired by Mathieu's flip-flap technique, and in 5 boys with severe chordee and proximal hypospadias, the transverse prepucial island flap repair was employed. Second-stage repair was performed in 10 children, and another 5 boys underwent release of chordee. The complication rate of the group was 18%, most of them fistulae. The current approaches to hypospadias repair are discussed and are supported by them.
本文介绍了77名男孩在1年时间里尿道下裂修复的当前经验。39例远端尿道下裂患儿接受了尿道口前移阴茎头成形术(MAGPI),18例近端病变程度较重的患儿采用马蒂厄翻转皮瓣技术修复,5例患有重度阴茎下弯和近端尿道下裂的男孩采用了横行包皮岛状皮瓣修复术。10名儿童进行了二期修复,另有5名男孩接受了阴茎下弯松解术。该组的并发症发生率为18%,其中大多数为瘘管。文中讨论了当前尿道下裂修复的方法,并得到了相关支持。