Carmignani G, Belgrano E, Gaboardi F, Farina F P
J Microsurg. 1982 Summer;3(4):222-7. doi: 10.1002/micr.1920030406.
A microsurgical technique for one-stage repair of hypospadias using a rectangular transverse dorsal preputial island skin flap is presented. The use of optical magnification, atraumatic technique, and microsurgical instruments allows a vascularized preputial skin flap to be raised and isolated on the dorsum of the penis and then rotated ventrally and tubulized into a neourethral channel. The meatus of the new urethral channel lies at the tip of the glans. Cover for the penis is simply obtained and does not require a longitudinal row of sutures. The need to remove the distal stenotic portion of the urethra and to correct any degree of chordee is outlined and emphasized. Good cosmetic and functional results demonstrate the efficacy of such a technique.
本文介绍了一种使用矩形横向背侧包皮岛状皮瓣一期修复尿道下裂的显微外科技术。使用光学放大、无创技术和显微外科器械，可在阴茎背侧掀起并分离带血管的包皮皮瓣，然后将其向腹侧旋转并卷管形成新的尿道通道。新尿道通道的尿道口位于龟头顶端。阴茎的覆盖物易于获得，且无需纵向缝合。文中概述并强调了切除尿道远端狭窄部分以及矫正任何程度阴茎下弯的必要性。良好的外观和功能效果证明了该技术的有效性。
