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一期完成重度阴茎阴囊型尿道下裂修复:尿道游离、翼状皮瓣翻转尿道成形术及“龟头尿道口成形术”的经验

Complete repair of severe penoscrotal hypospadias in 1 stage: experience with urethral mobilization, wing flap-flipping urethroplasty and "glanulomeatoplasty".

作者信息

Koyanagi T, Matsuno T, Nonomura K, Sakakibara N

出版信息

J Urol. 1983 Dec;130(6):1150-4. doi: 10.1016/s0022-5347(17)51732-2.

DOI:10.1016/s0022-5347(17)51732-2
PMID:6644897
Abstract

We describe our experience with complete repair of severe penoscrotal hypospadias in 1 stage. The operative technique includes several innovative points, such as release of chordee by urethral mobilization (without detaching it from the glans) after penile degloving of dartos chordee, wing flap-flipping urethroplasty to the tip of the glans and incrimination of "glanulomeatoplasty" for better cosmetic and functional results. Our technique is compared to other 1-stage methods.

摘要

我们描述了一期完全修复重度阴茎阴囊型尿道下裂的经验。手术技术包括几个创新点,如在阴茎肉膜性尿道下裂脱套后通过尿道游离(不将其与龟头分离)松解尿道下裂,将翼状皮瓣翻转尿道成形术应用于龟头尖端,并采用“龟头尿道口成形术”以获得更好的美容和功能效果。我们的技术与其他一期手术方法进行了比较。

相似文献

1
Complete repair of severe penoscrotal hypospadias in 1 stage: experience with urethral mobilization, wing flap-flipping urethroplasty and "glanulomeatoplasty".一期完成重度阴茎阴囊型尿道下裂修复:尿道游离、翼状皮瓣翻转尿道成形术及“龟头尿道口成形术”的经验
J Urol. 1983 Dec;130(6):1150-4. doi: 10.1016/s0022-5347(17)51732-2.
2
Extended urethral mobilization in incised plate urethroplasty for severe hypospadias: a variation in technique to improve chordee correction.严重尿道下裂切开补片尿道成形术中延长尿道游离:一种改善阴茎弯曲矫正的技术变异
J Urol. 2007 Sep;178(3 Pt 1):1031-5. doi: 10.1016/j.juro.2007.05.074. Epub 2007 Jul 16.
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Posterior hypospadias repair: a new technical approach. Mobilization of the urethral plate and duplay urethroplasty.后尿道下裂修复术:一种新的技术方法。尿道板游离及杜普雷尿道成形术。
Eur Urol. 1992;22(2):137-41. doi: 10.1159/000474741.
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Tubularized, incised plate urethroplasty in hypospadias repair: experience at Queen Sirikit National Institute of Child Health.管状切开板尿道成形术治疗尿道下裂:诗丽吉王后国家儿童健康研究所的经验
J Med Assoc Thai. 2003 Aug;86 Suppl 3:S522-30.
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Transverse preputial onlay island flap urethroplasty for single-stage correction of proximal hypospadias.横行包皮岛状皮瓣尿道成形术用于一期矫正近端尿道下裂。
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Outcome analysis of tubularized incised urethral plate using dorsal dartos flap for proximal penile hypospadias repair.应用背侧皮瓣的管状切开尿道板在近端阴茎下裂修复中的疗效分析。
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Application of the onlay island flap urethroplasty to penile hypospadias with severe chordee.嵌合岛状皮瓣尿道成形术在重度阴茎下弯阴茎尿道下裂中的应用。
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Modification of the King-Hoffman urethroplasty for one-stage repair of distal shaft penile hypospadias.改良金-霍夫曼尿道成形术用于阴茎远端尿道下裂的一期修复。
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Split dorsal dartos flap transposed ventrally as a bed for preputial skin graft in primary staged hypospadias repair.将背侧皮瓣转移到腹侧,作为原发性分期尿道下裂修复中带蒂包皮皮片的床。
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Radical bulbar dissection to correct severe chordee and proximal hypospadias.根治性球部解剖术以矫正重度阴茎下弯和近端尿道下裂。
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引用本文的文献

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Results of the one-stage proximal hypospadias repair with modified Koyanagi technique: A prospective cohort study in a single Vietnam centre.改良小柳技术一期修复近端型尿道下裂的结果:越南单一中心的一项前瞻性队列研究
Ann Med Surg (Lond). 2021 Nov 2;71:103012. doi: 10.1016/j.amsu.2021.103012. eCollection 2021 Nov.
2
What is the pathogenesis of proximal hypospadias?近端尿道下裂的发病机制是什么?
Turk J Urol. 2018 Jul;44(4):357-361. doi: 10.5152/tud.2018.85530.
3
Commentary: Management of High-Grade Penile Curvature Associated with Hypospadias in Children.
评论:儿童尿道下裂相关重度阴茎弯曲的管理
Front Pediatr. 2017 Dec 7;5:261. doi: 10.3389/fped.2017.00261. eCollection 2017.
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The contemporary role of 1 vs. 2-stage repair for proximal hypospadias.一期修复与二期修复在近端尿道下裂治疗中的当代作用。
Transl Androl Urol. 2014 Dec;3(4):347-58. doi: 10.3978/j.issn.2223-4683.2014.11.04.
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Outcome of pediatric hypospadias repair in adulthood.成年期小儿尿道下裂修复的结果。
Open Access J Urol. 2010 Apr 29;2:57-62. doi: 10.2147/rru.s6523. eCollection 2010.
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Modified koyanagi repair for severe hypospadias.改良小柳修复术治疗重度尿道下裂
J Indian Assoc Pediatr Surg. 2013 Jul;18(3):96-9. doi: 10.4103/0971-9261.116041.
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Management of severe hypospadias.重度尿道下裂的治疗
Indian J Urol. 2008 Apr;24(2):233-40. doi: 10.4103/0970-1591.40621.
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The modified Koyanagi hypospadias repair for the one-stage repair of proximal hypospadias.改良小柳法用于近端尿道下裂的一期修复。
Indian J Urol. 2008 Apr;24(2):206-9. doi: 10.4103/0970-1591.40617.
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The estimated prevalence of hypospadias in Hokkaido, Japan.日本北海道尿道下裂的估计患病率。
J Epidemiol. 2004 May;14(3):73-7. doi: 10.2188/jea.14.73.
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Further experience with one-stage repair of severe hypospadias and scrotal transposition. Modifications in the technique and its result in eight cases.重度尿道下裂一期修复及阴囊转位的进一步经验。技术改良及其在8例中的结果。
Int Urol Nephrol. 1988;20(2):167-77. doi: 10.1007/BF02550668.