Sauvage P, Becmeur F, Geiss S, Fath C
Service de Chirurgie Infantile, C.H.U. Hautepierre, Hopitaux Université Louis Pasteur, Strasbourg, France.
J Pediatr Surg. 1993 Mar;28(3):435-8. doi: 10.1016/0022-3468(93)90244-f.
Three hundred patients with hypospadias and 50 patients with isolated chordee without hypospadias were operated on and followed by the same surgeon. A very low postoperative urethrocutaneous fistula rate (4.8%) was related to complete cutaneous coverage of the neourethra. The incidence of stenosis, noted in 8% of the cases, has progressively decreased with improvement of technical details and with growing experience. A total of 75% of the patients were corrected with a single operative procedure. Good disponibility of penile skin rendered a second intervention always easy.
300例尿道下裂患者和50例无尿道下裂的单纯阴茎下弯患者接受了同一位外科医生的手术治疗并进行随访。术后尿道皮肤瘘发生率极低(4.8%),这与新尿道的完全皮肤覆盖有关。狭窄发生率为8%,随着技术细节的改进和经验的积累,其发生率已逐渐降低。75%的患者通过单次手术得到矫正。阴茎皮肤易于获取使得二次手术总是很容易进行。