Management of hypospadias cripples with two-staged repair
10.3760/cma.j.issn.1008-6706.2012.05.016
- VernacularTitle:分期手术治疗尿道下裂残废
- Author:
Mingjiang DAN
;
Jun Lü
;
Weilie HU
;
Huaqiang YAO
;
Xiaoming ZHANG
;
Yuansong XIAO
;
Liang TONG
;
Zhaoming XIAO
;
Kesong WAN
;
Chenhui ZHU
- Publication Type:Journal Article
- Keywords:
Hypospadias;
Hypospadias cripples;
Surgery
- From:
Chinese Journal of Primary Medicine and Pharmacy
2012;19(5):676-677
- CountryChina
- Language:Chinese
-
Abstract:
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 completion 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.
