Wallon P, Saint-Supery G, Bucco P
Chir Pediatr. 1984;25(1):53-7.
Distal hypospadias with meatus situated on the glans, in the balano-penile furrow, even on the distal part of the shaft, are the most frequent hypospadias. Without chordee, it's only a cosmetic handicap. The aim of surgery is to produce the esthetic appearance of a normal penis. In France, circumcision is not usual and most people prefer a child with prepuce. The best technique in this case is to keep the meatus in its hypospadial situation and get the prepuce circular with a ventral suture. It's an easy technique. The hospital stay is short, 2 or 3 days, without any diversion of the urine. This operation is made when the child is about 3 years. Saint-Aubert described this procedure in 1967. The authors present their technique and results. Since 1971, 138 boys underwent this operation with few complications: 2% of fistulas and 2% of phimosis on the last hundred of cases.
尿道口位于龟头、阴茎头冠状沟甚至阴茎体远端的远端型尿道下裂是最常见的尿道下裂类型。如果没有阴茎下弯，这仅仅是一个外观方面的缺陷。手术的目的是使阴茎外观恢复正常。在法国，包皮环切术并不常见，大多数人更喜欢保留包皮的孩子。在这种情况下，最佳技术是保持尿道口处于尿道下裂状态，并通过腹侧缝合使包皮呈圆形。这是一种简单的技术。住院时间短，为2至3天，无需尿液改道。该手术在孩子大约3岁时进行。圣奥贝尔在1967年描述了这一手术方法。作者介绍了他们的技术和结果。自1971年以来，138名男孩接受了该手术，并发症很少：在最近的100例病例中，瘘管发生率为2%，包茎发生率为2%。
