重度尿道下裂治疗及相关问题浅析

Treatment of severe hypospadias and analysis of related problems

尿道下裂是儿童泌尿生殖系统常见的先天畸形之一,发病率较高且有增加趋势,其中重度尿道下裂占比逐年增加,严重影响患者阴茎发育。随着临床医生对尿道下裂认知的进步、诊治经验的积累以及手术方式的不断完善,尿道下裂手术修复的成功率得到一定的提升,但是仍然存在很多问题,比如并发症发生率仍很高、对阴茎下弯认识不足、远期随访阴茎下弯复发、策略分期术式的选择等等。本文对重度尿道下裂治疗及相关问题进行分析,为修复重度尿道下裂的临床实践提供参考。

Hypospadias is one of the common congenital malformations of the urogenital system in children,with a high incidence and an increasing trend.And the incidence rate of severe hypospadias is increasing year by year,which seriously affects the penile development of the patient.With deepened understanding of hypospadias,accumulated experience in its diagnosis and treatment,and continuous improvement of surgical strategies,the success rate of surgical repair of hypospadias has been elevated to a certain extent.However,quite a few problems remain to be studied,such as the high rate of complications,insufficient understanding of penile curvature,long-term follow-up recurrence of penile curvature,selection of strategic staged surgery,etc.This article analyzes the treatment of severe hypospadias and related problems,and provides some reference for clinicians in surgical repair of severe hypospadias.