Coleman J W
J Urol. 1981 May;125(5):708-10. doi: 10.1016/s0022-5347(17)55174-5.
A technique for the repair of severe hypospadias is described. The essential features include a chordee release and cosmetic repair of the previously tethered penis, the construction of a new urethra using bladder mucosa in a subcutaneous tunnel and an oblique anastomosis of the graft and true urethra as deep within the shaft of the penis as possible. One stricture has developed with this technique and meatal stenosis requiring dilation remains a minor problem. However, the over-all results of this technique appear to be good. The use of bladder mucosal grafts in cases in which previous repairs have failed or in which adequate foreskin for urethral reconstruction is lacking is feasible and has been performed successfully in adults. THe combination of a chordee release and bladder mucosal inlay graft as a single stage procedure in a small child has not yet been attempted.
本文描述了一种修复重度尿道下裂的技术。其主要特点包括松解阴茎下弯并对先前粘连的阴茎进行整形修复，在皮下隧道中使用膀胱黏膜构建新尿道，并将移植物与真性尿道尽可能在阴茎体深部进行斜行吻合。采用该技术出现了1例狭窄，而需要扩张的尿道口狭窄仍是一个小问题。然而，该技术的总体效果似乎良好。在先前修复失败或缺乏足够包皮用于尿道重建的病例中，使用膀胱黏膜移植物是可行的，并且已在成人中成功实施。在小儿中将松解阴茎下弯与膀胱黏膜镶嵌移植物作为一期手术联合应用尚未尝试过。
