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首页> 外文期刊>BJU international >Further experience with the tubularized-incised urethral plate technique for hypospadias repair.
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Further experience with the tubularized-incised urethral plate technique for hypospadias repair.

机译：管式切开尿道板技术治疗尿道下裂的进一步经验。

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OBJECTIVES: To report further experience of hypospadias repair using the tubularized-incised urethral plate (TIP) technique and to evaluate the role of postoperative neourethral dilatation as a method of preventing complications. PATIENTS AND METHODS: The study included 64 patients (aged 2-18 years) who underwent TIP repair of hypospadias; 47 required a primary and 17 a secondary repair. After removing the stent they were randomized into two groups; group 1 (38 patients) underwent regular neourethral dilatation for 12 weeks and group 2 (26 patients) did not. Patients were followed for a mean (range) of 28 (6-52) months. RESULTS: The functional and cosmetic results were excellent in all patients in group 1, except for slight meatal regression in one patient (3%). In group 2, 17 patients had excellent results; eight (31%) were re-operated upon to correct complications, six developed a fistula (four of which were associated with meatal stenosis) and two developed a neourethral stricture. CONCLUSIONS: TIP urethroplasty is a versatile technique that provides an excellent functional and cosmetic outcome. Regular urethral calibration after repair should be considered as an integral part of the technique, to prevent neourethral and/or meatal stenosis with subsequent fistula formation.
机译：目的：报告使用管式切开尿道板（TIP）技术治疗尿道下裂的进一步经验，并评估术后新尿道扩张作为预防并发症的方法的作用。病人和方法：该研究包括64名接受尿道下裂的TIP修复的患者（2-18岁）。 47台需要一次维修，17台需要二次维修。取下支架后，将它们随机分为两组;第二组则分为两组。第1组（38例）定期进行新尿道扩张12周，而第2组（26例）未进行。随访患者的平均时间（范围）为28（6-52）个月。结果：第一组的所有患者的功能和美容效果均优异，除了一名患者的轻微的肉体消退（3％）。在第2组中，有17例患者取得了优异的效果。 8例（31％）再次手术以纠正并发症，其中6例发展为瘘管（其中4例与肉性狭窄相关），另外2例发展为新尿道狭窄。结论：TIP尿道成形术是一种多功能技术，可提供出色的功能和美容效果。修复后定期进行尿道校准应被视为该技术的组成部分，以防止新尿道和/或肉管狭窄并随后形成瘘管。

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