Kroovand R L, Perlmutter A D
J Urol. 1980 Oct;124(4):530-2. doi: 10.1016/s0022-5347(17)55526-3.
From July 1971 to April 1979, 47 children who required detachment of the meatus from more distal tissues for adequate chordee release or who needed division of the urethra underwent a 1-stage tubed island-flap procedure. In this procedure the dorsal surface of the hooded prepuce is used to form a urethral tube and the ventral surface is used for shaft skin coverage. In followup to 5 years our long-term functional and cosmetic results appear acceptable for situations requiring creation of only a moderate length of urethra. For more proximal hypospadias a high complication rate has discourged our continued use of this 1-stage procedure.
1971年7月至1979年4月，47名儿童因需要将尿道口与更远端组织分离以充分矫正阴茎下弯或需要进行尿道离断术，接受了一期管状岛状皮瓣手术。在此手术中，兜状包皮的背侧用于形成尿道管，腹侧用于覆盖阴茎体皮肤。随访长达5年，对于仅需构建中等长度尿道的情况，我们的长期功能和外观效果似乎是可以接受的。对于更靠近近端的尿道下裂，由于并发症发生率高，我们已不再继续使用这种一期手术。
