Abasiyanik A, Güvenç H, Köseoğlu B
Department of Pediatric Surgery, Selçuk University, Faculty of Medicine, Konya, Turkey.
J Pediatr Surg. 1996 Sep;31(9):1225-8. doi: 10.1016/s0022-3468(96)90237-7.
Six patients (average age, 2 1/2 years; range, 4 months to 8 years) with the exstrophy-epispadias complex and isolate epispadias were treated using an alternative method. An inverted U-shaped incision (with a length of approximately 3 to 5 cm and a width of approximately 0.7 to 1.0 cm) was prepared, extending from the penopubic urethral meatus toward the umbilicus. The two incisions were extended along the urethral plate toward the ventral face of the glans. The pubic flap was prepared from the skin or scar tissue on the pubic area. The neourethra was reconstructed using penopubic flaps. A fistula occurred in one patient, which healed spontaneously. The penopubic flaps enabled us to form a wide-enough urethral tube and to perform a better dissection on the pubic area.
六例患有膀胱外翻-尿道上裂复合畸形及孤立性尿道上裂的患者（平均年龄2.5岁；范围4个月至8岁）采用了一种替代方法进行治疗。准备一个倒U形切口（长度约3至5厘米，宽度约0.7至1.0厘米），从阴茎耻骨尿道外口向脐部延伸。这两个切口沿着尿道板向龟头腹面延伸。耻骨皮瓣取自耻骨区域的皮肤或瘢痕组织。使用耻骨皮瓣重建新尿道。一名患者出现了瘘管，但自行愈合。耻骨皮瓣使我们能够形成足够宽的尿道管，并在耻骨区域进行更好的解剖。
