Hendren W H
J Urol. 1979 Apr;121(4):527-34. doi: 10.1016/s0022-5347(17)56856-1.
Unsatisfactory appearance and function of the penis are common after repair of complete epispadias. Reoperation can benefit the majority of these patients. The principles of repair in secondary cases as well as primary cases include wide mobilization of the corpora to gain length, resection of dorsal chordee to straighten the shaft, augmentation of urethral length with a graft, secure closure of the corpora over the urethra to avoid a fistula, wide mobilization of the mons to place hair-bearing skin in proper location and Z-plasty closure.
完全性尿道上裂修复术后阴茎外观和功能不佳很常见。再次手术对大多数此类患者有益。二次手术及初次手术的修复原则包括广泛游离阴茎海绵体以增加长度、切除背侧阴茎硬结以伸直阴茎体、用移植物增加尿道长度、在尿道上方牢固闭合阴茎海绵体以避免瘘管形成、广泛游离阴阜以将有毛发的皮肤置于合适位置以及采用Z成形术闭合。
