Daher P, Korkmaz G
Service de Chirurgie pédiatrique, Hôpital Hôtel-Dieu de France, Achrafié, Beyrouth, Liban.
J Med Liban. 1995;43(2):68-71.
The treatment of severe and recurrent hypospadias includes different techniques. We present thirteen cases (7 recurrent and 1 circumcised). In four recurrent cases of midshaft hypospadias, we chose Mathieu's technique, and in nine severe cases, three of them were recurrent cases, Duckett's technique (3 cases), free bladder mucosal graft (4 cases), and free prepucial mucosal graft (2 cases). Our results were good in 9/13 cases (70%) with three fistulas, two of them were cured as out care patient. We try to precise each technique indications and details which would lessen the postoperative complications rate.
重度复发性尿道下裂的治疗包括不同的技术。我们呈现了13例病例(7例复发性病例和1例包皮环切术后病例)。在4例阴茎中段尿道下裂复发病例中,我们选择了马蒂厄手术;在9例重度病例中,其中3例为复发病例,采用了达克特手术(3例)、游离膀胱黏膜移植术(4例)和游离包皮黏膜移植术(2例)。我们的结果显示,13例中有9例(70%)效果良好,出现了3例瘘管,其中2例作为门诊患者治愈。我们试图明确每种技术的适应证和细节,以降低术后并发症发生率。