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Plastic and Aesthetic Research 2022年第1期9卷 628-639页

作者： Marta R.Bizic Borko Stojanovic Marko Bencic Ivana Joksic Miroslav L.Djordjevic Department of Urology University Children’s HospitalFaculty of MedicineUniversity of BelgradeBelgrade 11000Serbia Department of Urology Belgrade Center for Urogenital Reconstructive SurgeryBelgrade 11000Serbia Department of Genetics Gynecology and Obstetrics Clinic“Narodni Front”Belgrade 11000Serbia Department of Urology Icahn School for Medicine at Mount SinaiNew YorkNY 10075USA

Aim:This paper presents the latest surgical approaches for epispadias treatment in the pediatric population,as well as those for adolescent and adult populations after initial failed repair in ***:The retrospective study was conducted between March 2005 and May 2020 and included 18 patients with the mean age of 21 months(range 11-48 months)(Group A),who underwent primary epispadias repair and 15 patients with the mean age of 18 years(range 13-29 years)(Group B),who underwent redo surgery after failed epispadias repair in *** Group A,the surgery was performed as a one-stage procedure using complete penile disassembly technique,while,in Group B,the surgery was done as a two-stage procedure and included complete straightening and lengthening of the penis,followed by urethral *** straightening and lengthening were achieved by tunica albuginea incision and *** Group A,the urethral plate was mobilized,transposed ventrally,and tubularized and augmented with vascularized preputial skin flap where *** Group B,the urethra was reconstructed either using the buccal mucosa graft and genital skin flaps or with tubularization of genital skin *** treatment was defined as a functional and esthetically acceptable penis without ***:The mean follow-up was 88 months(range 15-197 months).Satisfactory results were achieved in 26/33 *** fistula occurred in 4/18 patients from Group A and in 3/15 patients in Group B and was surgically repaired after four *** dehiscence occurred in eight patients,five from Group A and three from Group *** penile curvature was observed in 2/18 patients from Group A and required surgical correction and in 2/15 patients from Group B and was mild and did not need surgical *** patients from Group B who filled out the International Index for Erectile Function reported satisfying erectile function,sexual desire,intercourse,and overall satisfa

关键词： epispadias primary repair penile disassembly urethroplasty buccal mucosa graft genital reconstruction failed epispadias

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