Mills C, McGovern J, Mininberg D, Coleman J, Muecke E, Vaughan E D
J Urol. 1981 May;125(5):701-2. doi: 10.1016/s0022-5347(17)55168-x.
We discuss the risks of total surgical correction of distal hypospadias with chordee, review 42 such cases and analyze 4 common surgical procedures that were used. The over-all complication rate was 16.6 per cent (7 of 42), with 9.5 per cent (4 of 42) of the cases requiring addition urethral reconstruction. All complications occurred following procedures designed to extend the urethral meatus to the tip of the glans (Horton-Devine 5 of 15 and Ombrédanne 2 of 8). In contrast, no complications occurred following urethral advancement or Allen-Spence repairs (0 of 19). The physician and family should be aware of the increased risk attendant with total anatomical urethral correction in contrast to less extensive surgery, which gives an excellent functional result with minimal risk.
我们讨论了阴茎下弯合并尿道下裂完全手术矫正的风险，回顾了42例此类病例，并分析了所采用的4种常见手术方法。总体并发症发生率为16.6%（42例中的7例），其中9.5%（42例中的4例）的病例需要再次进行尿道重建。所有并发症均发生在旨在将尿道口延伸至龟头顶端的手术之后（霍顿-迪瓦恩手术15例中的5例，翁布雷丹手术8例中的2例）。相比之下，尿道前移或艾伦-斯彭斯修复术后未发生并发症（19例中的0例）。医生和家属应意识到，与范围较小的手术相比，完全解剖学尿道矫正伴随的风险增加，而范围较小的手术能以最小的风险取得优异的功能效果。
