Njinou B, Terryn F, Lorge F, Opsomer R J, De Groote P, Veyckemans F, Van Cangh P J, Wese F X
Service d'urologie, Cliniques Universitaires St. Luc, Bruxelles.
Acta Urol Belg. 1998 Mar;66(1):7-11.
Seventy-seven hypospadias, selected from a series of 504 treated in our institution, were operated using the pediculated transverse "onlay" preputial graft. We try to demonstrate that this technique produces excellent functional and cosmetic results. Chordee can be corrected using extensive dissection of the urethral plate with association, if necessary, of a Nesbit type of dorsal plication. Complications rate, in our hands, is lower in comparison to the technique described by John Duckett, where the urethral plate is divided and a complete urethral tube is performed. We report 4 fistulas, one distal end breakdown of the repair and one postoperative hematoma that had to be revised. Because of this low complication rate, in many cases, the "onlay" pediculated graft replaces advantageously the Duckett type of repair.
从我们机构治疗的504例患者中选出77例尿道下裂患者，采用带蒂横行“覆盖”包皮移植术进行手术。我们试图证明该技术能产生优异的功能和美容效果。若有必要，可通过广泛解剖尿道板并联合Nesbit式背侧折叠术来矫正阴茎下弯。在我们的操作中，与John Duckett所描述的技术相比，并发症发生率更低，后者是将尿道板分开并构建完整的尿道管。我们报告了4例瘘管、1例修复远端破裂以及1例术后血肿，均需进行修正。由于并发症发生率较低，在许多情况下，“覆盖”带蒂移植术可有效替代Duckett式修复术。
