Hayashi Y, Mogami M, Kojima Y, Mogami T, Sasaki S, Azemoto M, Maruyama T, Tatsura H, Tsugaya M, Kohri K
Department of Urology, Nagoya City University Medical School, Nagoya, Japan.
Int J Urol. 1998 Mar;5(2):167-9. doi: 10.1111/j.1442-2042.1998.tb00269.x.
Urethrocutaneous fistulas are one of the major causes of morbidity after hypospadias repair.
During the last 2.5 years, 26 patients underwent repair of 41 urethrocutaneous fistulas. These fistulas were repaired by a 3-layered closure method, by using meticulous surgical techniques aided by optical magnification. In large fistulas, a dermal subcutaneous flap was created and brought over the surgically repaired urethral fistula.
Twenty-four of the 26 patients with urethrocutaneous fistulas after hypospadias repair had fistula closure, with a 92% success rate.
A high success rate was obtained with a multilayered closure using meticulous techniques to repair urethrocutaneous fistulas.
尿道皮肤瘘是尿道下裂修复术后发病的主要原因之一。
在过去2.5年中，26例患者接受了41处尿道皮肤瘘的修复。这些瘘采用三层闭合方法修复，借助光学放大使用精细的手术技术。对于大的瘘，制作真皮皮下瓣并覆盖在手术修复的尿道瘘上。
26例尿道下裂修复术后尿道皮肤瘘患者中有24例瘘闭合，成功率为92%。
采用精细技术进行多层闭合修复尿道皮肤瘘可获得较高成功率。
