Coleman J W, McGovern J H, Marshall V F
Urol Clin North Am. 1981 Oct;8(3):457-62.
A technique for the repair of severe hypospadias is described. The essential features include: 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 utilizing this technique. The remainder of the children appear to have obtained a good result. Meatal stenosis requiring dilatation remains a minor problem. The use of bladder mucosal grafts in cases in which previous repairs have failed or when adequate foreskin for urethral reconstruction is lacking is feasible and has been successfully performed in adults. The combination of a chordee release and bladder mucosal inlay graft as a single-stage procedure in a small child had 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：松解阴茎弯曲并对先前受牵拉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；将移植片与真性尿道尽可能在阴茎体深部进行斜行吻合。采用该技术出现了一例狭窄。其余患儿似乎都取得了良好效果。需要扩张的尿道口狭窄仍是一个小问题。在既往修复失败或缺乏足够包皮用于尿道重建的病例中，使用膀胱黏膜移植片是可行的，并且已在成人中成功实施。在幼儿中将阴茎弯曲松解与膀胱黏膜内嵌移植作为一期手术联合应用尚未有人尝试过。
