MEATAL BASED HYPOSPADIAS REPAIR WITH THE USE OF A DORSAL SUBCUTANEOUS FLAP TO PREVENT URETHROCUTANEOUS FISTULA

被引:89
作者
RETIK, AB [1 ]
MANDELL, J [1 ]
BAUER, SB [1 ]
ATALA, A [1 ]
机构
[1] HARVARD UNIV,SCH MED,DEPT SURG,BOSTON,MA 02115
关键词
HYPOSPADIAS; PENIS; URETHRA; SURGICAL FLAPS; FISTULA;
D O I
10.1016/S0022-5347(17)32555-7
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
A technique using a dorsal dartos subcutaneous flap to wrap the neourethra after hypospadias repair is described. This method was used in a series of 204 meatal based repairs. Catheter drainage or diversion was not performed in any nontoilet trained child. The procedure was done on an ambulatory or 1-night hospitalization basis. No patient had a urethrocutaneous fistula. The additional covering of the neourethra with the dorsal subcutaneous flap appears to be excellent for avoiding the development of urethrocutaneous fistulas in patients with distal hypospadias.
引用
收藏
页码:1229 / 1231
页数:3
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