带蒂横向包皮瓣技术治疗男性尿道下裂：10年随访
[Surgical treatment of male hypospadias with pediculated transversal preputial flap technique: a 10-year follow-up].
作者信息
Esteban Fuertes M, Ramírez Fernández J C, Salinas Casado J, Prieto Chaparro L, Sánchez Chapado M, Resel Estévez L
机构信息
Cátedra de Urología, Hospital Universitario San Carlos, Universidad Complutense, Madrid, España.
出版信息
Arch Esp Urol. 1995 Oct;48(8):805-11.
OBJECTIVES
The study was conducted to evaluate the long-term follow-up micturition data, sexual function and cosmetic results of hypospadias surgical repair.
METHODS
14 males (mean age 19.6 yrs) submitted to hypospadias surgical repair with the pedicled preputial tubulized flap technique 10 years ago were evaluated.
RESULTS
The most frequent site of the anomaly was the distal third of penis (85.6%). The micturition data were excellent and urinary flow rates were normal in 92.8%. Erection and ejaculation were normal in all patients. Penile curvature persisted in 14.2%; 64.2% of the patients had sexual intercourse (completely satisfactory in 66.6%), penis size was normal in 78.6% and 66.6% of the patients were married and had children. No longterm follow-up complications were observed.
CONCLUSIONS
The technique achieved excellent cosmetic and functional results.
目的
本研究旨在评估尿道下裂手术修复后的长期排尿数据、性功能及外观效果。
方法
对10年前采用带蒂包皮管状皮瓣技术进行尿道下裂手术修复的14名男性（平均年龄19.6岁）进行评估。
结果
异常最常见的部位是阴茎远端三分之一处（85.6%）。排尿数据良好，92.8%的患者尿流率正常。所有患者勃起和射精功能均正常。阴茎弯曲持续存在的比例为14.2%；64.2%的患者有过性生活（66.6%完全满意），78.6%的患者阴茎大小正常，66.6%的患者已婚并有子女。未观察到长期随访并发症。
结论
该技术取得了优异的外观和功能效果。
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