de Jong T P, Boemers T M
Department of Paediatric Urology, University Hospital for Children and Youth, Utrecht, The Netherlands.
Br J Urol. 1993 Dec;72(6):972-4. doi: 10.1111/j.1464-410x.1993.tb16313.x.
A modified Mathieu "flip-flap" technique is described for coronal and distal shaft hypospadias with moderate chordee. The first improvement is the creation of a well vascularised skin flap by leaving the dartos tunica attached to the mobilised skin, thus making it possible to bridge urethral defects up to 2.5 cm. The second improvement is the correction of congenital curvature by partial chordectomy and dorsal plication of the tunica albuginea without the need for circumcision. Preputial reconstruction is possible if required. Twenty patients underwent the procedure with a follow-up of at least 2.5 years; 96 patients had a shorter follow-up. Complications in the group of 20 patients consisted of 1 fistula, 2 meatal stenoses and 1 glanular dehiscence due to severe wound infection. There were no late complications.
本文描述了一种改良的Mathieu“翻转皮瓣”技术，用于治疗伴有中度阴茎下弯的冠状沟及阴茎体远端型尿道下裂。第一项改进是通过保留肉膜层与游离皮肤相连，创建一个血运良好的皮瓣，从而能够修复长达2.5厘米的尿道缺损。第二项改进是通过部分阴茎下弯切除及白膜背侧折叠来矫正先天性阴茎弯曲，无需进行包皮环切术。如有需要，可进行包皮重建。20例患者接受了该手术，随访时间至少为2.5年；另有96例患者随访时间较短。20例患者组的并发症包括1例瘘管、2例尿道口狭窄以及1例因严重伤口感染导致的龟头裂开。无晚期并发症。
