Sariyüce O, Roth D R, Gonzales E T
Scott Department of Urology, Baylor College of Medicine, Houston, TX, USA.
Int Urol Nephrol. 1997;29(2):241-4. doi: 10.1007/BF02551349.
We report the results of primary repairs that were performed on 52 consecutive patients with distal hypospadias as an outpatient procedure. A modified Mathieu repair with meatal-based vascularized flap was performed under 2.5 optical magnification using Scottring retractors, traction sutures, micro instruments and fine suture material. A total of 3 patients had complications that required reoperation (5.8%). One of these 3 complications was a urethrocutaneous fistula (1.9%). We found that the repair of distal hypospadias was successful with meatal-based flap using contemporary finer approaches and equipment.
我们报告了对52例连续性远端尿道下裂患者进行门诊一期修复手术的结果。采用基于尿道口的带血管蒂皮瓣改良Mathieu修复术,在2.5倍光学放大倍数下,使用Scottring牵开器、牵引缝线、微型器械和精细缝合材料进行手术。共有3例患者出现需要再次手术的并发症(5.8%)。这3例并发症中有1例为尿道皮肤瘘(1.9%)。我们发现,采用当代更精细的方法和设备,基于尿道口皮瓣修复远端尿道下裂是成功的。