Gibbons M D, Gonzales E T
J Urol. 1983 Oct;130(4):739-42. doi: 10.1016/s0022-5347(17)51433-0.
There has been much recent enthusiasm for repair of subcoronal hypospadias, which is due to the positive experience with meatal advancement, glanuloplasty and its excellent cosmetic results, extremely low complication rate and brief hospitalization requirement. Although we have found the meatal advancement, glanuloplasty to be an extremely reliable procedure in the majority of boys with subcoronal hypospadias and no fibrous chordee, we have encountered 3 variants, patulous, fibrotic and hypoplastic, of the subcoronal meatus, which are not amenable to meatal advancement, glanuloplasty. We describe a logical approach to the assessment of the subcoronal meatus with use of a vascularized meatal-based flap for hypospadias repair when meatal advancement, glanuloplasty is not applicable.
最近，对于冠状沟下型尿道下裂的修复有很多热情，这归因于尿道口前移、阴茎头成形术的积极经验及其出色的美容效果、极低的并发症发生率和短暂的住院需求。尽管我们发现尿道口前移、阴茎头成形术对于大多数冠状沟下型尿道下裂且无纤维性阴茎下弯的男孩来说是一种极其可靠的手术，但我们遇到了冠状沟下尿道口的3种变体，即扩张型、纤维化型和发育不全型，它们不适用于尿道口前移、阴茎头成形术。我们描述了一种在尿道口前移、阴茎头成形术不适用时，使用带血管蒂的尿道口瓣修复尿道下裂来评估冠状沟下尿道口的合理方法。
