Heaton B W, Snow B W, Cartwright P C
Division of Urology, University of Utah, Salt Lake City.
Urology. 1994 Nov;44(5):749-52. doi: 10.1016/s0090-4295(94)80221-1.
To develop a new technique to repair congenital and acquired megaurethra without opening the enlarged urethra.
A urethral plication similar to the Starr ureteral plication was developed, which allows the urethra to be plicated without opening into the lumen. This technique also allows the operation to be done in conjunction with hypospadias repairs.
Eight of 10 patients had uneventful recoveries. One had obstruction and infection that resolved with drainage and antibiotics. A coronal margin fistula developed in a patient who had urethral plication as well as urethral advancement.
This new urethral plication eliminates the need for opening the urethra and its associated complications while preserving urethral blood supply and allowing associated hypospadias repairs to be simultaneously performed.
开发一种无需打开扩大的尿道来修复先天性和后天性巨尿道的新技术。
研发了一种类似于斯塔尔输尿管折叠术的尿道折叠术，该技术可在不打开尿道腔的情况下对尿道进行折叠。此技术还允许在修复尿道下裂时一并进行该手术。
10例患者中有8例恢复顺利。1例出现梗阻和感染，经引流及抗生素治疗后痊愈。1例同时进行尿道折叠术和尿道前移术的患者发生冠状缘瘘。
这种新的尿道折叠术无需打开尿道及其相关并发症，同时保留了尿道血供，并允许同时进行相关的尿道下裂修复。
