Application of buccal mucosa with Snodgrass procedure for repair of hypospadias_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

LIU Bing , WANG Di , YANG Zhe , TANG Yong , LI Yangqun ,  CHEN Wen

The Second Department of Plastic Surgery, Plastic Surgery Hospital, Chinese Academy of Medical Science, Beijing, 100041, P.R.China;

Corresponding?author：

CHEN Wen, Email: chenwencw@163.com

Keywords：

Hypospadias; urethroplasty; buccal mucosa; Snodgrass procedure

DOI：

10.7507/1002-1892.201709093

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To present method and experiences in using the buccal mucosa with the Snodgrass procedure for repair of hypospadias. Methods Between August 2012 and April 2015, 55 boys with hypospadias were treated with Snodgrass procedure combined with buccal mucosa. The age ranged from 1 to 7 years (mean, 4 years). There were 32 cases of distal penile type, 14 cases of proximal penile type, and 9 cases of coronal sulcus type. The buccal mucosa taking from inner cheek was fixed into the incised urethral plate. The urethral plate was tubularized over a catheter. Results All the patients were followed up 3-25 months (mean, 11 months). After operation, 1 patient had urethral stricture and fistula after repaired urethra was infected, and 5 patients had fistula. For the others, the urination was smooth, the appearance of penis was satisfying, the urethral stricture did not occur, and the penis was straightened completely. Conclusion Compared with traditional Snodgrass procedure, the application of buccal mucosa can increase the reconstruction material of urethral and reduce the stricture of the repaired urethra after operation.

Citation： LIU Bing, WANG Di, YANG Zhe, TANG Yong, LI Yangqun, CHEN Wen. Application of buccal mucosa with Snodgrass procedure for repair of hypospadias. Chinese Journal of Reparative and Reconstructive Surgery, 2018, 32(1): 51-54. doi: 10.7507/1002-1892.201709093 Copy

1.	Biswas S, Haldar S, Ghosh D, et al. A comparative study of two techniques of urethroplasty in repair of distal penile hypospadias. J Indian Med Assoc, 2009, 107(2): 94, 96, 106.
2.	張干林, 張金明. 尿道下裂病因學研究進展. 中華小兒外科雜志, 2014, 35(3): 230-232.
3.	Snodgrass W. Tubularized, incised plate urethroplasty for distal hypospadias. Urol, 1994, 151(2): 464-465.
4.	劉毅東, 莊利愷, 葉惟靖, 等. 鑲嵌式包皮內板尿道成形術治療尿道下裂臨床分析. 中華小兒外科雜志, 2015, 36(3): 178-181.
5.	Snodgrass W, Koyle M, Manzoni G. Tubularized incised plate hypospadias repair for proximal hypospadias. Urol, 1998, 159(6): 2129-2131.
6.	李曉東, 許寧, 薛學義, 等. 一期無管化尿道板縱行切開卷管尿道成形術治療尿道下裂術后疼痛和并發癥的觀察. 中國修復重建外科雜志, 2014, 28(12): 1505-1508.
7.	萬光霞, 馬勁松. 尿道板縱切卷管尿道成形術 (Snodgrass) 在小兒尿道下裂的臨床治療方面的療效分析. 吉林醫學, 2017, 38(4): 622-624.
8.	Snodgrass W. Does tabularized incised plate hypospadias repair create neourethral strictures. Urol, 1999, 162(3 Pt 2): 1159-1161.
9.	Elbakry A. Further experience with the tubularized-incised urethral plate technique for hypospadias repair. BJU Int, 2002, 89(3): 291-294.
10.	張濰平, 孫寧, 黃澄如, 等. 應用 Snodgrass 尿道成形術治療遠端尿道下裂. 中華小兒外科雜志, 2006, 27(10): 525-527.
11.	Ferro F, Vallasciani S, Borsellino A, et al. Snodgrass urethroplasty: grafting the incised plate—10 years later. J Urol, 2009, 182(4 Suppl): 1730-1734.
12.	唐耘熳, 王學軍, 毛宇, 等. 游離包皮內板卷管尿道成形術矯治尿道下裂的近期觀察. 中國修復重建外科雜志, 2016, 30(7): 866-870.
13.	唐勇, 李養群, 趙穆欣, 等. 口腔黏膜卷管游離移植一次性重建遠段尿道. 中華整形外科雜志, 2017, 33(1): 34-36.
14.	Horiguchi A. Substitution urethroplasty using oral mucosa graft for male anterior urethral stricture disease: Current topics and reviews. Inter J Urol, 2017, 24(7): 493-503.
15.	O’Connell JE, Cullen IM, Murphy C, et al. Buccal mucosa urethroplasty: a 10-year retrospective review of maxillofacial and urological outcomes. Ir J Med Sci, 2015, 184(4): 761-767.
16.	Soave A, Dahlem R, Pinnschmidt HO, et al. Substitution urethroplasty with closure versus nonclosure of the buccal mucosa gaft harvest site: A randomized controlled trial with a detailed analysis of oral pain and morbidity. Eur Urol, 2017. [Epub ahead of print].
17.	陳恕柱, 靳宏勇, 劉毅東, 等. 舌黏膜與口腔黏膜在治療多次尿道下裂手術失敗患兒中的臨床應用和比較. 中華小兒外科雜志, 2017, 38(1): 59-63.
18.	劉偉, 吳榮德. 美國 PARC Urology 參觀見聞. 中華小兒外科雜志, 2017, 38(5): 399-400.

1. Biswas S, Haldar S, Ghosh D, et al. A comparative study of two techniques of urethroplasty in repair of distal penile hypospadias. J Indian Med Assoc, 2009, 107(2): 94, 96, 106.
2. 張干林, 張金明. 尿道下裂病因學研究進展. 中華小兒外科雜志, 2014, 35(3): 230-232.
3. Snodgrass W. Tubularized, incised plate urethroplasty for distal hypospadias. Urol, 1994, 151(2): 464-465.
4. 劉毅東, 莊利愷, 葉惟靖, 等. 鑲嵌式包皮內板尿道成形術治療尿道下裂臨床分析. 中華小兒外科雜志, 2015, 36(3): 178-181.
5. Snodgrass W, Koyle M, Manzoni G. Tubularized incised plate hypospadias repair for proximal hypospadias. Urol, 1998, 159(6): 2129-2131.
6. 李曉東, 許寧, 薛學義, 等. 一期無管化尿道板縱行切開卷管尿道成形術治療尿道下裂術后疼痛和并發癥的觀察. 中國修復重建外科雜志, 2014, 28(12): 1505-1508.
7. 萬光霞, 馬勁松. 尿道板縱切卷管尿道成形術 (Snodgrass) 在小兒尿道下裂的臨床治療方面的療效分析. 吉林醫學, 2017, 38(4): 622-624.
8. Snodgrass W. Does tabularized incised plate hypospadias repair create neourethral strictures. Urol, 1999, 162(3 Pt 2): 1159-1161.
9. Elbakry A. Further experience with the tubularized-incised urethral plate technique for hypospadias repair. BJU Int, 2002, 89(3): 291-294.
10. 張濰平, 孫寧, 黃澄如, 等. 應用 Snodgrass 尿道成形術治療遠端尿道下裂. 中華小兒外科雜志, 2006, 27(10): 525-527.
11. Ferro F, Vallasciani S, Borsellino A, et al. Snodgrass urethroplasty: grafting the incised plate—10 years later. J Urol, 2009, 182(4 Suppl): 1730-1734.
12. 唐耘熳, 王學軍, 毛宇, 等. 游離包皮內板卷管尿道成形術矯治尿道下裂的近期觀察. 中國修復重建外科雜志, 2016, 30(7): 866-870.
13. 唐勇, 李養群, 趙穆欣, 等. 口腔黏膜卷管游離移植一次性重建遠段尿道. 中華整形外科雜志, 2017, 33(1): 34-36.
14. Horiguchi A. Substitution urethroplasty using oral mucosa graft for male anterior urethral stricture disease: Current topics and reviews. Inter J Urol, 2017, 24(7): 493-503.
15. O’Connell JE, Cullen IM, Murphy C, et al. Buccal mucosa urethroplasty: a 10-year retrospective review of maxillofacial and urological outcomes. Ir J Med Sci, 2015, 184(4): 761-767.
16. Soave A, Dahlem R, Pinnschmidt HO, et al. Substitution urethroplasty with closure versus nonclosure of the buccal mucosa gaft harvest site: A randomized controlled trial with a detailed analysis of oral pain and morbidity. Eur Urol, 2017. [Epub ahead of print].
17. 陳恕柱, 靳宏勇, 劉毅東, 等. 舌黏膜與口腔黏膜在治療多次尿道下裂手術失敗患兒中的臨床應用和比較. 中華小兒外科雜志, 2017, 38(1): 59-63.
18. 劉偉, 吳榮德. 美國 PARC Urology 參觀見聞. 中華小兒外科雜志, 2017, 38(5): 399-400.

Chinese Journal of Reparative and Reconstructive Surgery

Application of buccal mucosa with Snodgrass procedure for repair of hypospadias

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content