Bang R L, Ebrahim M K, Lari A R
Department of Surgery, Faculty of Medicine, Kuwait University.
Br J Plast Surg. 1993 Mar;46(2):164-7. doi: 10.1016/0007-1226(93)90153-3.
Single stage repair of distal penile hypospadias with chordee in circumcised patients is described. A ventral 'T' flap is used, the horizontal part of the T flap forming the complete circumference of the new urethra and lying in the defect created due to chordee release. The vertical part of the T flap, in conjunction with the grooved glans, forms the neourethra like the flip flap procedure. Of 22 patients repaired in this way, 2 (9.0%) developed fistula and one (4.5%) had meatal stenosis, thus in 86.5% successful repair was achieved.
描述了对包皮环切术后阴茎远端尿道下裂合并阴茎下弯患者进行一期修复的方法。采用腹侧“T”形皮瓣，“T”形皮瓣的水平部分形成新尿道的完整周长，并位于因阴茎下弯松解而产生的缺损处。“T”形皮瓣的垂直部分与带沟的龟头一起，像翻转皮瓣手术一样形成新尿道。用这种方法修复的22例患者中，2例（9.0%）发生了瘘管，1例（4.5%）出现尿道口狭窄，因此成功率达到了86.5%。
