带蒂包皮管尿道成形术治疗尿道下裂21例疗效分析

Urethroplasty with preputial pedicle tube in treatment of hypospadias in 21 patients

目的:探讨带蒂包皮管尿道成形术治疗尿道下裂的疗效。方法:分析21例尿道下裂患者应用带蒂包皮管尿道成形术治疗的临床资料。结果:一期手术成功16例,排尿通畅,阴茎外观接近正常;尿瘘3例,尿道外口狭窄1例,吻合口狭窄1例,经再次手术治愈。结论:带蒂包皮管尿道成形术是治疗尿道下裂的一种较理想方法,具有取材方便、成功率高、并发症少、阴茎外观满意等优点。

Objective：To evaluate the effect of urethroplasty with preputial pedicle tube in treatment of hypospadias. Methods： Clinical data of 21 patients with hypospadias undergoing urethroplasty with preputial pedicle tube were reviewed. Results： Success of one-stage operation was achieved in sixteen patients with easy urination. The appearance of penis was almost normal. The urinary fistula occurred in 3 patients, urethral orifice stenosis in one patient and anastomotic stoma stenosis in one patient. All complications in the 5 patients were cured by second operation. Conclusions：One-stage urethroplasty with preputial pedicle tube is a preferable method for treatment of hypospadias. The merits of the operation are that it is easy to harvest tissue, the successful rate is high, the complications are less and the appearance is almost normal.