尿道下裂下曲矫正阴茎头部尿道重建术

目的:提高尿道下裂手术的成功率.方法:设计了Ⅰ期阴茎下曲矫正、阴茎头部尿道重建术,并在8例病人中实施了该术式.利用阴茎远端腹侧皮瓣重建阴茎头部尿道,在Ⅱ期手术时进行阴茎头部尿道与原尿道外口间的尿道成形术.结果:8例病人完成Ⅱ期手术后,重建尿道外观良好,无尿漏和尿道狭窄发生,阴茎勃起正常.结论:本术式操作容易,简化了Ⅱ期手术,并发症少,术后效果较好.

Correction of clubbed penis and reconstruction of urethra of glans in hypospadias

Objective: To improve the methods for hypospadias operations , and increase the successful rate. Methods: We designed a new technique, in which we corrected the clubbed penis and reconstructed the urethra of glans in the first stage of operation. Eight patients with hypospadias received this technique. The urethra of glans were reconstructed by using a distal skin flap of penis. In the second stage, urethroplasty were performed between the urethra of glans and the orifice. Results: The appearance of penis and the new urethra were good with normal erection, and no leak and narrow happened. Conclusion: This operation can be performed easily, and it can simplify the operation of the second stage with less complications and better results.