Brodsky M A
Ann Chir Gynaecol. 1980;69(1):23-31.
The report is based on the author's clinical experience with 244 patients seen in the clinic from 1st January 1970 to 30th of September 1979 using the Horton-Devine's one-stage repair of hypospadias. The method was employed in 86 boys with all types of hypospadias. A system of classification for evaluating the operative results is presented. Each operative result is judged from the functional and cosmetic point of view. 50% of the patients were operated on only once with excellent results. The rest of the patients had some complications and needed complementary simple surgical treatment and in 8 cases reoperation. However, even these cases attained excellent final results. Only one patient with scrotal hypospadias was a failure with this method. 99% of all operated patients attained a penis of normal appearance with conic shaped glans, meatus in the sagittal direction on the tip, and normal micturition. Evaluation of the sexual function of the penis is not yet possible. A favourable anatomical appearance and functional result is an important prerequisite for undisturbed sexual life. The Horton-Devine's method for repair of hypospadias demands exact surgical technique and high standard of postoperative care. The results achieved by the method are excellent.
本报告基于作者于1970年1月1日至1979年9月30日期间在诊所对244例患者的临床经验，这些患者均采用霍顿 - 迪瓦恩一期尿道下裂修复术。该方法应用于86例患有各种类型尿道下裂的男孩。文中提出了一种评估手术效果的分类系统。每个手术结果都从功能和外观角度进行判断。50%的患者仅接受了一次手术，效果极佳。其余患者出现了一些并发症，需要进行简单的补充手术治疗，8例患者需要再次手术。然而，即使是这些病例最终也取得了极佳的效果。只有1例阴囊型尿道下裂患者采用这种方法手术失败。所有接受手术的患者中，99%的人阴茎外观正常，龟头呈圆锥形，尿道口位于顶端矢状面上，排尿正常。目前尚无法对阴茎的性功能进行评估。良好的解剖外观和功能结果是性生活不受干扰的重要前提。霍顿 - 迪瓦恩尿道下裂修复方法需要精确的手术技术和高标准的术后护理。该方法所取得的结果非常出色。
