Teague J L, Roth D R, Gonzales E T
Texas Children's Hospital, Baylor College of Medicine, Houston.
J Urol. 1994 Feb;151(2):470-2. doi: 10.1016/s0022-5347(17)34994-7.
While long used for primary hypospadias repair, meatal based flap urethroplasty has not been widely considered a viable alternative for a secondary procedure. We reviewed 200 patients who underwent meatal based flap urethroplasty and identified 9 (4.5%) who underwent the procedure for correction of complications of previous hypospadias repair, including urethrocutaneous fistula, severe meatal retraction, persistent chordee and hair in the urethra. The complication was corrected with a single operation in 8 of the 9 patients (89%). A single small fistula developed in 3 patients, which closed spontaneously in 2 and required another procedure in 1. Meatal based flap urethroplasty should be considered for correction of distal complications of hypospadias repair.
虽然尿道口基底皮瓣尿道成形术长期以来一直用于一期尿道下裂修复，但它尚未被广泛认为是二期手术的可行替代方案。我们回顾了200例行尿道口基底皮瓣尿道成形术的患者，发现其中9例（4.5%）接受该手术是为了纠正既往尿道下裂修复的并发症，包括尿道皮肤瘘、严重尿道口退缩、持续性阴茎下弯和尿道内毛发。9例患者中有8例（89%）通过单次手术纠正了并发症。3例患者出现了单个小瘘管，其中2例自行闭合，1例需要再次手术。对于纠正尿道下裂修复的远端并发症，应考虑采用尿道口基底皮瓣尿道成形术。
