1.Management of hypospadias cripples with two-staged repair
Mingjiang DAN ; Jun Lü ; Weilie HU ; Huaqiang YAO ; Xiaoming ZHANG ; Yuansong XIAO ; Liang TONG ; Zhaoming XIAO ; Kesong WAN ; Chenhui ZHU
Chinese Journal of Primary Medicine and Pharmacy 2012;19(5):676-677
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.
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