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[贝尔特-富卡技术:尿道下裂修复的一种有用替代方法(作者译)]

[Belt-Fuqua technique: a useful alternative in hypospadias repair (author's transl)].

作者信息

Hautmann R, Lutzeyer W

出版信息

Urologe A. 1980 Nov;19(6):373-5.

PMID:7193372
Abstract

This Belt-Fuqua method is of particular help when the entire foreskin lies on the ventral surface of the penis. Such a situation results from an exaggerated buttonhole technique at the time the chordee is corrected as the initial procedure either by chance or intentionally. A portion of the transposed foreskin is used to fashion a tube of appropriate length and diameter to reach the end of the penis. This new urethra is then drawn through a tunnel on the ventrum of the penis. This operation has several advantages over the available alternative procedures: 1. The Belt-Fuqua technique uses the entire foreskin on the ventral surface of the penis for the extension of the uretha. 2. The abundance of foreskin allows easily to fashion a complete tube of appropriate length and diameter. 3. The new urethra is completely covered by intact subcutaneous tissue and the remainder of the foreskin and is crossed by no sutureline. 4. The procedure is relatively simple to perform, is less likely to result in fistula formation than the alternative procedure used and has not been accompanied by the complications of stricture or meatal stenosis in our hands.

摘要

当整个包皮位于阴茎腹侧时,这种贝尔特 - 富卡方法特别有用。这种情况是在最初矫正尿道下裂时,因偶然或故意采用了夸张的纽扣孔技术所致。一部分移位的包皮被用来制作一根长度和直径合适的管道,以延伸至阴茎末端。然后将这条新尿道穿过阴茎腹侧的一条隧道。与现有的其他手术方法相比,该手术有几个优点:1. 贝尔特 - 富卡技术利用阴茎腹侧的整个包皮来延长尿道。2. 包皮丰富,便于轻松制作出长度和直径合适的完整管道。3. 新尿道完全被完整的皮下组织和剩余的包皮覆盖,且没有缝线穿过。4. 该手术操作相对简单,与其他替代手术相比,形成瘘管的可能性较小,而且在我们的操作中未出现狭窄或尿道口狭窄等并发症。

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