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：

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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.	张干林, 张金明. 尿道下裂病因学研究进展. 中华小儿外科杂志, 2014, 35(3): 230-232.
3.	Snodgrass W. Tubularized, incised plate urethroplasty for distal hypospadias. Urol, 1994, 151(2): 464-465.
4.	刘毅东, 庄利恺, 叶惟靖, 等. 镶嵌式包皮内板尿道成形术治疗尿道下裂临床分析. 中华小儿外科杂志, 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.	李晓东, 许宁, 薛学义, 等. 一期无管化尿道板纵行切开卷管尿道成形术治疗尿道下裂术后疼痛和并发症的观察. 中国修复重建外科杂志, 2014, 28(12): 1505-1508.
7.	万光霞, 马劲松. 尿道板纵切卷管尿道成形术 (Snodgrass) 在小儿尿道下裂的临床治疗方面的疗效分析. 吉林医学, 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.	张潍平, 孙宁, 黄澄如, 等. 应用 Snodgrass 尿道成形术治疗远端尿道下裂. 中华小儿外科杂志, 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, 王学军, 毛宇, 等. 游离包皮内板卷管尿道成形术矫治尿道下裂的近期观察. 中国修复重建外科杂志, 2016, 30(7): 866-870.
13.	唐勇, 李养群, 赵穆欣, 等. 口腔黏膜卷管游离移植一次性重建远段尿道. 中华整形外科杂志, 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.	陈恕柱, 靳宏勇, 刘毅东, 等. 舌黏膜与口腔黏膜在治疗多次尿道下裂手术失败患儿中的临床应用和比较. 中华小儿外科杂志, 2017, 38(1): 59-63.
18.	刘伟, 吴荣德. 美国 PARC Urology 参观见闻. 中华小儿外科杂志, 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. 张干林, 张金明. 尿道下裂病因学研究进展. 中华小儿外科杂志, 2014, 35(3): 230-232.
3. Snodgrass W. Tubularized, incised plate urethroplasty for distal hypospadias. Urol, 1994, 151(2): 464-465.
4. 刘毅东, 庄利恺, 叶惟靖, 等. 镶嵌式包皮内板尿道成形术治疗尿道下裂临床分析. 中华小儿外科杂志, 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. 李晓东, 许宁, 薛学义, 等. 一期无管化尿道板纵行切开卷管尿道成形术治疗尿道下裂术后疼痛和并发症的观察. 中国修复重建外科杂志, 2014, 28(12): 1505-1508.
7. 万光霞, 马劲松. 尿道板纵切卷管尿道成形术 (Snodgrass) 在小儿尿道下裂的临床治疗方面的疗效分析. 吉林医学, 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. 张潍平, 孙宁, 黄澄如, 等. 应用 Snodgrass 尿道成形术治疗远端尿道下裂. 中华小儿外科杂志, 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, 王学军, 毛宇, 等. 游离包皮内板卷管尿道成形术矫治尿道下裂的近期观察. 中国修复重建外科杂志, 2016, 30(7): 866-870.
13. 唐勇, 李养群, 赵穆欣, 等. 口腔黏膜卷管游离移植一次性重建远段尿道. 中华整形外科杂志, 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. 陈恕柱, 靳宏勇, 刘毅东, 等. 舌黏膜与口腔黏膜在治疗多次尿道下裂手术失败患儿中的临床应用和比较. 中华小儿外科杂志, 2017, 38(1): 59-63.
18. 刘伟, 吴荣德. 美国 PARC Urology 参观见闻. 中华小儿外科杂志, 2017, 38(5): 399-400.

Chinese Journal of Reparative and Reconstructive Surgery

Application of buccal mucosa with Snodgrass procedure for repair of hypospadias

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