尿道下裂伴阴茎阴囊转位的诊治(附83例报告)

Surgical correction of penoscrotal transposition with hypospadias:Experience with 83 cases

目的:通过分析尿道下裂伴阴茎阴囊转位的诊治,总结手术方式及经验。方法:回顾性分析2003年1月至2009年6月间收治的尿道下裂合并阴茎阴囊转位的83例病例资料,并分析手术方式、诊治情况及术后随访外观情况。结果:矫治尿道下裂时同期或分期作阴囊成形术,术后随访6个月至5年。术后81例阴茎阴囊矫正外观满意,仅2例重度尿道下裂复位不满意需再次行阴茎阴囊复位手术。所有患者在阴茎阴囊复位后经同期或分期尿道成形术后最终均达到尿道下裂修复的标准。结论:本手术方法术后阴茎伸直好,阴茎阴囊复位整形效果满意,最终尿道成形术后预后良好,术后并发症少。

Objective：To investigate the techniques of surgical correction of penoscrotal transposition with hypospadias.Methods： We retrospectively studied 83 cases of penoscrotal transposition with hypospadias treated by surgery from January 2003 to June 2009,and analyzed the surgical techniques and follow-up results.Results： The patients underwent urethroplasty with simultaneous or staged surgical correction of penoscrotal transposition.Postoperative follow-up was conducted for 0.5-5 years.Eighty-one of the patients were satisfied with the appearance of the reconstructed penis and scrotum,and satisfactory outcomes were achieved in the other 2 with severe hypospadias after a second surgical correction of penoscrotal transposition.Conclusion： Urethroplasty with simultaneous or staged surgical correction of penoscrotal transposition is recommendable for its resultant penile straightness,desirable penoscrotal appearance,good surgical prognosis and few postoperative complications.