Further experience with one-stage repair of severe hypospadias and scrotal transposition modifications in the technique and its result in eight cases
Tóm tắt
Further experience with one-stage repair of severe hypospadias and scrotal transposition performed in eight patients is reported. Primary success was obtained in six, while one patient was cured by secondary repair. While describing the operative technique with some modifications it was reassured that our parameatal preputial flap is a well vascularized one which can safely and easily be constructed into a neourethra. Advantages of improved “glanulomeatoplasty” and scrotoplasty are also discussed. The method is recommended as highly successful to attain excellent functional and cosmetic results in one stage for severe hypospadias.
Tài liệu tham khảo
Ehrlich, R. M., Scardino, P. T.: Surgical correction of scrotal transposition and perineal hypospadias.J. Pediatr. Surg., 17, 175 (1982).
Hodgson, N. B.: Commentary: Review of hypospadias repair. In: E. Douglas Whitehead, Elliot Leiter (eds): The Current Operative Urology, 2nd ed., Harper & Row, Philadelphia 1984, pp. 1233–1242.
King, L. R.: Overview: Hypospadias repair. In: E. Douglas Whitehead, Elliot Leiter (eds): The Current Operative Urology, 2nd ed., Harper & Row, Philadelphia 1984, pp. 1265–1271.
Koyanagi, T., Nonomura, K., Gotoh, T., Nakanishi, S., Kakizaki, H.: One-stage repair of perineal hypospadias and scrotal transposition.Eur. Urol., 10, 364 (1984).
Koyanagi, T., Matsuno, T., Nonomura, K., Sakakibara, N.: Complete repair of severe hypospadias in 1 stage: Experience with urethral mobilization, wing flap flipping urethroplasty and “glanulomeatoplasty”.J. Urol., 130, 1150 (1983).
Gittes, R. F., McLaughlin, A. P., III: Injection technique to induce penile erection.Urology, 4, 473 (1974).
Barcat, J.: Current concept of treatment. In: Horton, C. E. (ed.): Plastic and Reconstructive Surgery of the Genital Area. Little Brown and Co., Boston 1973, pp. 249–263.
Imanaka, K., Asano, Y., Togashi, M., Koyanagi, T.: One stage total repair of hypospadias: Results of one-stage urethroplasty with parameatal flap (OUPF).Jap. J. Urol. (to be published).
Creevy, C. D.: The correction of hypospadias: a review.Urol. Surv., 8, 2 (1958).
Duckett, J.: Transverse preputial island flap technique for repair of severe hypospadias.Urol. Clin. N. Am., 7, 423 (1980).
Hodgson, N. B.: Hypospadias and urethral duplication. In: Campbell's Urology, Vol. 2, W. B. Saunders. Philadelphia 1979, pp. 1566–1595.