Free graft two-stage urethroplasty for hypospadias repair / 中国医学科学杂志(英文版)
Chinese Medical Sciences Journal
; (4): 119-122, 2005.
Article
em En
| WPRIM
| ID: wpr-305444
Biblioteca responsável:
WPRO
ABSTRACT
<p><b>OBJECTIVE</b>To evaluate the effectiveness of free graft transplantation two-stage urethroplasty for hypospadias repair.</p><p><b>METHODS</b>Fifty-eight cases with different types of hypospadias including 10 subcoronal, 36 penile shaft, 9 scrotal, and 3 perineal were treated with free full-thickness skin graft or (and) buccal mucosal graft transplantation two-stage urethroplasty. Of 58 cases, 45 were new cases, 13 had history of previous failed surgeries. Operative procedure included two stages: the first stage is to correct penile curvature (chordee), prepare transplanting bed, harvest and prepare full-thickness skin graft, buccal mucosal graft, and perform graft transplantation. The second stage is to complete urethroplasty and glanuloplasty.</p><p><b>RESULTS</b>After the first stage operation, 56 of 58 cases (96.6%) were successful with grafts healing well, another 2 foreskin grafts got gangrened. After the second stage operation on 56 cases, 5 cases failed with newly formed urethras opened due to infection, 8 cases had fistulas, 43 (76.8%) cases healed well.</p><p><b>CONCLUSIONS</b>Free graft transplantation two-stage urethroplasty for hypospadias repair is a kind of effective treatment with broad indication, comparatively high success rate, less complications and good cosmatic results, indicative of various types of hypospadias repair.</p>
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Índice:
WPRIM
Assunto principal:
Pênis
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Escroto
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Cirurgia Geral
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Procedimentos Cirúrgicos Urológicos Masculinos
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Anormalidades Congênitas
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Transplante
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Uretra
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Estudos Retrospectivos
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Transplante de Pele
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Resultado do Tratamento
Tipo de estudo:
Observational_studies
Limite:
Adolescent
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Adult
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Child
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Child, preschool
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Humans
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Male
Idioma:
En
Revista:
Chinese Medical Sciences Journal
Ano de publicação:
2005
Tipo de documento:
Article