Secondary deformity of postoperation of hypospadias and its treatment
10.3760/cma.j.issn.1009-4598.2018.08.002
- VernacularTitle: 尿道下裂术后继发畸形及修复
- Author:
Qiyu LIU
1
;
Yangqun LI
;
Yong TANG
;
Wen CHEN
;
Zhe YANG
;
Muxin ZHAO
;
Ning MA
;
Weixin WANG
Author Information
1. Plastic Surgery Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100144, China
- Publication Type:Clinical Trail
- Keywords:
Hypospadias;
Secondary deformity;
Balanoplasty;
Lengthening of penis
- From:
Chinese Journal of Plastic Surgery
2018;34(8):593-597
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To sum up the clinical manifestations and the method for repairing of secondary deformities of postoperation of hypospadias.
Methods:Applying balanus tissue flaps and urethral meatus plastic could correct the flat balanus and prevent urethral meatus from falling back. Resecting scar completely in penis and rebuilding urethral tissues could treat secondary curved penis. Applying modified penile augmentation which involved girth enhancement by a free dermal-fat graft and penile elongation (suprapubic skin advancement-ligamentolysis) could correct shorter and much smaller penis.
Results:Among January 1st 2007 to December 31st 2016, 62 cases were treated.All of them were male. Their ages were from 14 to 34 years old.55 cases were followed up from 6 months to 9 years after operations, but 7 cases could not be followed up because of the change of addresses and phone numbers.All patients achieved excellent cosmetic result. None of them had complications like urethral fistula.
Conclusions:After operations of hypospadias, the secondary deformities may happen when the children grow up.And these deformities always need to be corrected with operations. Balanoplasty, correction of penis and the penile augmentation are good methods for secondary deformities.Consequently, a good penis appearance and function can be acquired.
