WORKING PARTY FOR UROLOGICAL STUDIES IN IMPROVING MINIMALLY INVASIVE SKILL ACQUISITION AND DELIVERY
WORKING PARTY FOR UROLOGICAL STUDIES IN IMPROVING MINIMALLY INVASIVE SKILL ACQUISITION AND DELIVERY
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提高微创技能获取和实施的泌尿外科研究工作组
DOI：
10.1111/j.1464-410x.2007.07026_3.x
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发表时间：
2007
影响因子：
4.5
通讯作者：
A. Rané
中科院分区：
文献类型：
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作者：
S. Kommu;A. Rané
作者也花了一些篇幅来解释他们的系列中远端尿道下裂患者的明显缺乏。确实，远侧型不应损害生育能力，但对排尿和外观的影响也不容易忽视。当然，近端腺状尿道下裂的男孩可能会有一个偏转和/或喷射尿流，矫正。同样地，包皮环切术和包皮环切术都不自然的包皮环切术可能会引起阴茎异常的注意，即使尿道口移位不太明显。鉴于目前使用的技术矫正远端尿道下裂的功能和美容效果良好，以及确定哪些婴儿如果不矫正可能有未来问题的不确定性，作者似乎对尿道下裂的修复持虚无主义态度，这令人惊讶。
The authors also go to some length to explain the notable lack of patients in their series with distal hypospadias. True, distal forms should not impair fertility, but effects on voiding and cosmetic appearance are not so easily discounted. Certainly boys with proximal glanular hypospadias might have a deflected and/or spraying urinary stream, warranting correction. Similarly, the hooded prepuce that appears neither circumcised nor natural might call attention to the penile abnormality even if meatal displacement is less obvious. Given excellent functional and cosmetic outcomes from currently used techniques to correct distal hypospadias, and the uncertainty in determining which infants might have future concerns if left uncorrected, it is surprising that the authors appear to advocate a rather nihilistic attitude towards its repair.