分期手术治疗尿道下裂残废

目的 评价分期治疗尿道下裂残废的效果.方法 对35例尿道下裂残废患者采用一期手术:完全脱套包皮,切除阴茎腹侧纤维束带或瘢痕组织,完全伸直阴茎,游离皮瓣、口腔颊黏膜或下唇黏膜移植至阴茎腹侧填补缺损,预置“尿道板”.术后,6个月二期手术:手术方式采用尿道板纵切卷管尿道成形术.结果 术后2例出现尿瘘,6个月后成功修补,其余病例的尿道均通畅,疗效满意.结论 分期手术治疗尿道下裂残废成功率高,手术简单,整形效果好.

Management of hypospadias cripples with two-staged repair

Objective To evaluate the two-stage repair in hypospadias cripples. Methods 35 patients with hypospadias cripples underwent two-stage repair. At the first stage, a full-thickness graft of skin or buccal mucosa was used for urethral plate reconstruction after the release of chordee. The second stage was performed 6 months after com- pletion of the first stage. Tubularization of the replaced urethral plate was the preferred technique. Results There was no urethra stricture or ＂preplaced urethral plate ＂ atrophy. Fistula developed in 2 of 35 cases. Conclusion The twostaged technique was a useful strategy to deal with the myriad abnormalities encountered in crippled hypospadias. This technique could not only create a neourethra successfully, but also give the penis a near-normal shape and appearance.