关键词: 原位皮瓣, 尿道成型, 尿道下裂, 阴茎阴囊型

Abstract:

Objective To investigate the phase Ⅱ in situ flap for the treatment of urethra shaping penis scrotal type hypospadias clinical curative effect, improve the level of the surgical treatment of patients with congenital hypospadias. Methods Between January 2011 and January 2016, 26 cases of penis scrotal type hypospadias patients take stage I straighten, penis foreskin penile ventral skin flap transfer. Six months after phase Ⅱ in situ flap for the treatment of urethra shaping hypospadias. Results Twenty-six patients with urethral stricture, 2 cases in the law of urethra expansion after urination improvement, 1 cases with anastomotic urinary fistula. Six months after repair success. All cases were followed up for 2 to 3 years, voiding, curative effect is satisfied. Conclusion Flap urethra in situ forming, to ensure the forming urethral blood supply, reduced the anastomotic tension, with a small injury, postoperative edema, the advantages of low incidence of urinary fistula, urethral stricture, which can effectively improve the curative effect.

Key words: in situ flap, hypospadias, urethroplasty, penis and scrotal type