Yamataka A, Ando K, Lane G J, Miyano T
Department of Pediatric Surgery, Juntendo University School of Medicine, Tokyo, Japan.
J Pediatr Surg. 1998 Dec;33(12):1788-9. doi: 10.1016/s0022-3468(98)90285-8.
To prevent the development of urethrocutaneous fistula after urethroplasty for hypospadias or recurrence after closure of a urethrocutaneous fistula, the authors developed a new simple technique wherein the readily available external spermatic fascia (ESF) surrounding the testis and cord is used as a pedicled blanket flap to cover the neourethra or the site of closure of a urethrocutaneous fistula.
In three patients who had urethroplasty for hypospadias incorporating our ESF flap procedure, no urethrocutaneous fistula developed. It was also effective for closure of urethrocutaneous fistula in five patients, some of whom had had recurrent fistula formation.
为防止尿道下裂尿道成形术后尿道皮肤瘘的发生或尿道皮肤瘘闭合后的复发，作者开发了一种新的简单技术，即将睾丸和精索周围易于获取的精索外筋膜（ESF）用作带蒂覆盖皮瓣，以覆盖新尿道或尿道皮肤瘘的闭合部位。
在3例行尿道下裂尿道成形术并采用我们的ESF皮瓣手术的患者中，未发生尿道皮肤瘘。该技术对5例尿道皮肤瘘的闭合也有效，其中一些患者曾有复发性瘘形成。
