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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 analyze the diagnosis and treatment of hypospadias penis scrotal transposition and summarize the surgical methods and experience. Methods: A retrospective analysis of 83 cases of hypospadias and penis scrotal transposition between January 2003 and June 2009 was performed. The surgical methods, diagnosis and treatment, and the postoperative follow-up were also analyzed. Results: During the treatment of hypospadias, the same period or stage for scrotoplasty, followed up for 6 months to 5 years. Postoperative 81 cases of penile scrotal correction of satisfactory appearance, only 2 cases of severe hypospadias reduction is not satisfied with the need to reopen the penis scrotum reduction surgery. All patients eventually achieved the hypospadias repair standard either by simultaneous or staged urethroplasty after the penis scrotal reduction. CONCLUSION: The procedure has good postoperative penile straightness, satisfactory reduction and shaping of penis scrotum, good prognosis after final urethroplasty, and few postoperative complications.