Scrotal dartos used in an operation for hypospadias.docVIP

 PAGE \* MERGEFORMAT 6 Scrotal dartos used in an operation for hypospadias Of: Xu Di, high Xiaoyun, He Shaohua, Li Li zhi, Xuhui Huang [Keywords:] scrotum; urinary fistula; hypospadias By recognized, easy surgical procedures to improve hypospadias a success rate of surgery, urology and pediatric surgeons is the efforts of direction. In this, the author describes a surgical, and the results were discussed. 1 Clinical data General Information 2000-2006, a total of 1.1 congenital hypospadias treated 480 patients, age (67.5 + -34.6 months (8 months to 13 years old. Which 288 cases of penile type, 112 cases of penile scrotal, scrotal 68 cases perineal in 12 cases, age (62.8 + -38.6 months (6 months to 14 years. randomly divided into 2 groups: (1A group of 180 patients, using a modified Duckett technique, in which 126 cases of penile type, 38 cases of penile scrotal, scrotal 12 cases, 4 cases of the perineum, (2B group of 300 patients, using a modified Duckett pedicle scrotal dartos coverage plus the new urethral surgery, 5 cases in which the penis, penis and scrotum in 2 cases, 2 cases of scrotal, perineal in 2 cases, age (60.4 + -36.4 months (6 months to 14 years. 1.2 The modified surgical technique surgical points Duckett: Free vascularized pedicle flap to the base of the penis, the new urethra interrupted suture ends after 2 consecutive full-thickness suture needle, tie a knot 1 cm across. Suture spacing 0.2 cm, margins 0.1 cm. the new urethra and the proximal urethra forming oblique suture, the proximal urethra and penis bevel angle of about 45 , confessional film side in 3-pin after each continuous suture knot to complete the suture. vascularized fascia and white membrane covered with a layer continuous suture for the first, the stitching albuginea penis ventral midline to open 0.6 ~ 1.0 cm. in the completion of the new technique using a modified Duckett cover the first layer of the urethra, the urethra from the end of the scrotal skin and cut