CAJ | 학술논문

目的提出冠状沟型尿道下裂一期手术新术式.方法应用包皮和阴茎皮肤联合皮瓣成形尿道,利用原龟头裂与包皮皮瓣成形尿道外口.结果临床应用20例,一次手术成功19例,1例并发尿道瘘.结论本法成形尿道皮瓣血运良好,不易发生皮瓣坏死,并发症少.利用龟头裂成形尿道外口,避免了尿道外口狭窄,术后尿道外口位于龟头顶端,阴茎外形接近于正常.
목적 제출관상구형뇨도하렬일기수술신술식.방법 응용포피화음경피부연합피판성형뇨도,이용원구두렬여포피피판성형뇨도외구.결과 림상응용20례,일차수술성공19례,1례병발뇨도루.결론 본법성형뇨도피판혈운량호,불역발생피판배사,병발증소.이용구두렬성형뇨도외구,피면료뇨도외구협착,술후뇨도외구위우구두정단,음경외형접근우정상.
Objective To evaluate a new one-stage repair of glandular hypospadias.Methods Twenty patients of glandular hypospadias underwent one-stage repair with tubularized preputial and penile flap.The urethral orifice was reconstructed with the flap and the glandular groove.Results The patients were followed-up for 6 months to 2 years.Nineteen patients have got satisfactory outcome and one had urethral fistula.Conclusions The excellent blood supply of the flap and application of the glandular groove to create neomeatus in one-stage minimises flap necrosis and stricture formation,and posits the neomeatus to the tip of the glans with satisfactory cosmetic appearance.