尿道下裂术后严重并发症的治疗体会

探讨尿道下裂术后严重并发症的处理途径。方法收治尿道下裂术后严重并发症１３例，分别采用三种不同的处理方法：（１）简单尿瘘修补和／或尿道狭窄处切除吻合２例；（２）彻底切除阴茎腹侧瘢痕组织和病变尿道，充分矫正阴茎下曲后同时重建尿道４例；（３）彻底切除阴茎腹侧病变组织，充分伸直阴茎、尿道后移造口，二期重建尿道７例。

Management of complications after hypospadias repair

Objective To evaluate the management of complications after hypospadias repair.Methods Thirteen cases with hypospadias repair complication were reviewed. Three procedures were employed including:1) simple repair of urethral fistula and/or excision of urethral stricture (n=2), 2) scar excision, chordee release and one stage urethral reconstruction (n=4), 3) excision of scar tissue, release of chordee and secondary reconstruction of urethra (n=7). Results Procedure 1 resulted in failure in both cases. One patient who underwent procedure 2 developed urethral fistula, which was repaired 6 months later. Five of the 7 cases who underwent procedure 3 recovered satisfactory without any complication and the second- stage urethroplasty of the other 2 cases was not carried out yet. Conclusion The main point of the treatment for hypospadias repair complication is adequate excision of scar tissues and chordee release with one or second stage urethroplasty.