Marshall M, Johnson S H, Price S E, Barnhouse D H
J Urol. 1979 Mar;121(3):335-8. doi: 10.1016/s0022-5347(17)56777-4.
During 13 years about 8 per cent of 234 patients operated upon for hypospadias presented surgical problems of reconstruction of the urethra from the urethral meatus proximal to the penoscrotal junction. These cases commonly are referred to as perineal or penoscrotal hypospadias. The problem occurs when the urethral groove fails to develop adequately and the scrotal folds have failed to rotate caudally. This hypospadias is in contrast to penoscrotal or distal hypospadias, when the urethral groove is developed but fusion is incomplete. In these patients the Cecil procedure has been used but modified to extend the urethra from behind the penoscrotal junction to the glans at the second stage of the urethroplasty. The modification consists of rotating the scrotum caudally from its high location. The tension and acute angulation that contributed to frequent complications previously associated with such attempts have been avoided and results are satisfactory.
在13年期间，234例接受尿道下裂手术的患者中，约8%出现了从尿道外口至阴茎阴囊交界处近端重建尿道的手术问题。这些病例通常被称为会阴型或阴茎阴囊型尿道下裂。当尿道沟发育不充分且阴囊皱襞未能向尾侧旋转时，就会出现这个问题。这种尿道下裂与阴茎阴囊型或远端尿道下裂不同，后者尿道沟已发育但融合不完全。在这些患者中，已采用Cecil手术，但进行了改良，以便在尿道成形术的第二阶段将尿道从阴茎阴囊交界处后方延伸至龟头。改良方法包括将阴囊从高位向尾侧旋转。避免了以前此类尝试经常出现的导致频繁并发症的张力和锐角，结果令人满意。
