ДЛЯ ДОКТОРА – ЧАСТЬ VI

FOR DOCTORS – PART VI Two Stage repair A small group of patients with severe proximal hypospadias, chordee, and a small phallus as well as patients with recurrent hypospadias and fibrous unhealthy skin may benefit from a two-stage procedure (Fig. 10). In the first stage, a circumferential incision is made proximal to the coronal sulcus,… Читать далее ДЛЯ ДОКТОРА – ЧАСТЬ VI

ДЛЯ ДОКТОРА – ЧАСТЬ V

FOR DOCTORS – PART V Tubularized Incised Plate Urethroplasty (TIP) The Tubularized Incised Plate repair (Snodgrass 1994) is based on the assumption that midline incision into the urethral plate may widen it sufficiently for urethroplasty without stricture. Many centres report excellent results with this technique. There are two important criteria to achieve good results: the… Читать далее ДЛЯ ДОКТОРА – ЧАСТЬ V

ДЛЯ ДОКТОРА – ЧАСТЬ IV

FOR DOCTORS – PART IV Grade II or Distal Hypospadias: “The Slit-like adjusted Mathieu (SLAM) Technique” The meatal-based flap technique of Mathieu is the most popular technique for distal hypospadias repair and has withstood the test of time. However, the major drawback of the original Mathieu technique is the final appearance of the meatus (a… Читать далее ДЛЯ ДОКТОРА – ЧАСТЬ IV

ДЛЯ ДОКТОРА – ЧАСТЬ III

FOR DOCTORS – PART III Fig. 6 a – d: Use of ventral skin distal to the meatus to reconstruct a partially epithelialised neourethra: (a) Duplay incomplete urethroplasty (1880); (b) Denis Browne technique (1949); (c) hinging of the urethral plate (Rich et al. 1989); (d) Snodgrass TIP urethroplasty (1994)              [A] Combined… Читать далее ДЛЯ ДОКТОРА – ЧАСТЬ III

ДЛЯ ДОКТОРА – ЧАСТЬ II

FOR DOCTORS – PART II Fig. 5 Different tissues used for correction of hypospadias Although the penile repairs can be grouped into 8 major principles, depending on the tissues used, each has been subject to countless variations as one surgeon after another adds yet another modification to an already thrice-modified variation of a procedure adapted… Читать далее ДЛЯ ДОКТОРА – ЧАСТЬ II

ДЛЯ ДОКТОРА – ЧАСТЬ I

FOR DOCTORS – PART I Incidence One in 125 boys has hypospadias. In the United States a study reported that hypospadias was the most common congenital anomaly among whites. The incidence has been rising during the 1970s and 1980s. Classification Anatomic classification of hypospadias recognizes the level of the meatus without taking into account curvature.… Читать далее ДЛЯ ДОКТОРА – ЧАСТЬ I