MacMillan R D, Churchill B M, Gilmour R F
J Urol. 1985 Jul;134(1):100-2. doi: 10.1016/s0022-5347(17)47003-0.
Voiding function was studied after repair of anterior hypospadias in 44 boys using Duckett's technique of meatoplasty and glanuloplasty. Assessment of the urinary stream was done in 2 ways. At least 6 weeks postoperatively a uroflow measurement using a DISA rotating disk machine was done. Peak flow was compared to previously prepared normal values in a large group of normal boys. Then, a high speed picture of the stream was taken using electronic video photography at the time of peak flow. Of the boys 42 had normal flow rates and 40 had acceptable stream patterns. The only complication was meatal stenosis in 2 cases. There were no fistulas. Although the primary indication for correction of anterior hypospadias is cosmetic, it is essential that function not be sacrificed to achieve this end. This study indicates that voiding function is maintained after hypospadias repair with meatoplasty and glanuloplasty.
采用达基特尿道外口成形术和龟头成形术对44例男孩的前尿道下裂进行修复后，对其排尿功能进行了研究。通过两种方式评估尿流情况。术后至少6周，使用迪萨旋转盘式仪器进行尿流率测量。将峰值尿流率与一大组正常男孩先前准备好的正常值进行比较。然后，在峰值尿流时使用电子视频摄影技术拍摄尿流的高速图像。42名男孩尿流率正常，40名男孩尿流模式可接受。仅2例出现尿道外口狭窄并发症，无瘘管形成。虽然矫正前尿道下裂的主要指征是外观，但绝不能为了达到这一目的而牺牲功能。本研究表明，采用尿道外口成形术和龟头成形术修复尿道下裂后，排尿功能得以维持。
