Woodard J R, Smith E A
Emory University School of Medicine, Atlanta, Georgia, USA.
Arch Esp Urol. 1998 Jul-Aug;51(6):561-8.
To explain the preoperative assessment of the hypospadias cripple and define the fundamental principles of correction of the failed hypospadias repair.
Through case presentation and literature review, the defects associated with the failed hypospadias repair including persistent chordee, urethral stricture, urethrocutaneous fistula, urethral diverticulum, meatal retraction and stenosis, failed glansplasty are elaborated. Decision-making points in selecting a method of repair are also provided.
The principles of successful reoperative hypospadias surgery are discussed and listed.
A thorough assessment of the defect and precise application of standard principles of hypospadias repair allows for successful correction of even complex hypospadias cripples.
解释尿道下裂致残患者的术前评估，并明确修复失败的尿道下裂的基本原则。
通过病例展示和文献回顾，阐述与尿道下裂修复失败相关的缺陷，包括阴茎硬结持续存在、尿道狭窄、尿道皮肤瘘、尿道憩室、尿道口退缩和狭窄、龟头成形术失败等。还提供了选择修复方法的决策要点。
讨论并列出了再次手术成功修复尿道下裂的原则。
对缺陷进行全面评估并精确应用尿道下裂修复的标准原则，即使是复杂的尿道下裂致残患者也能成功矫正。
