尿道板近端切断植皮分期治疗严重型尿道下裂

目的 探讨治疗严重型尿道下裂的方法.方法 一期将尿道板近端切断,矫正阴茎下弯,腹侧创面移植阴囊中厚皮片,半年后二期手术塑造尿道.结果 2004年2月至2005年3月,于临床应用17例,分期手术均成功,无尿道狭窄和尿瘘等并发症发生.1年后随访观察,阴茎头及尿道外口形态良好,阴茎矫直完全,术后阴茎阴囊形态尚佳.结论 该手术方法 操作简便,手术时间短,适用于阴茎近端型和阴茎阴囊型伴有重度阴茎下弯的尿道下裂患者.

Division of the proximal urethal plate and skin graft at the ventral surface of the penis for severe hypospadias

Objective To explore a technique for the treatment of scvere hypospadias.Methods At the first stage,the proximal end of the urethra plate was divised and the chordee was corrected.followed by skin graft at the ventral surface of penis.The urethraplagty wag performed at the second stage half a year later.Results From Feb.2004 to Mar.2005,17 cases were treated successfully without any complication.After one year of following up,the appearance of glan and the urethral meatus was good and the cordce wag corrected completely.The appearance of penis and seretm Wag also satisfactory.Conclusions The technique is easily performed and very suitable for penile and peroscrotal junction hypospadiag with severe chordee.