Anterior urethral extension penis extension fixation

Hypospadias refers to the male urethral opening not at the forefront of the penis, but under the glans, the ventral side of the penis, the base of the penis or the perineum. Often accompanied by penile curvature and testicular insufficiency (cryptorchidism), some boys have to urinate in the squatting, and more difficult to distinguish between men and women, causing great suffering to the family. Hypospadias is not uncommon, with about one in every 300 boys. In addition to the opening of the glans, there is no need for surgical correction, and the rest, if not corrected, may affect penis development or cause infertility. Treatment of diseases: hypospadias Indication Have a hypospadias. Preoperative preparation First, we must identify the gender. Secondly, the perineum should be cleaned with 1:1000 Xinjieer liquid on the 3rd day before surgery, once every night for 10 minutes. The area was shaved 1 day before surgery. People with urinary tract infection should first control the infection. Surgical procedure 1. Position: flat supine position, slightly separated legs or stone removal position. 2. Incision: The catheter is placed from the urethra to the bladder, the suture is fixed, and the mark is made. Then cut along the circumference of the external urethra 3mm, and extend along the urethra to extend the incision to the scrotum, and cut the scrotal suture 1~2cm. 3. Penis straightening, extending the anterior urethra: fully loosen and straighten the penis (with penis straightening), sharply separate the urethral sponge, straight to the ball, even after the ball. The tunnel is made in the head of the penis, and the catheter and the corpus cavernosum are taken out from the tunnel together. The peripheral skin of the urethral opening and the penile head are intermittently sutured and fixed. A few needles were fixed between the corpus cavernosum and the two corpus cavernosums. 4. Close the wound: adjust the skin of the penis and scrotum according to the principle of z forming, and suture into a zigzag shape. A rubber strip drainage strip is placed at the bottom of the scrotal incision. The assistant gently prescribes the catheter to make the penis stretched straight. After the surgeon wraps the penis with iodoform Vaseline gauze, the thick layer dressing is pressure-wrapped.

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