A TREATMENT OPTION FOR THE DISTAL FORM OF HYPOSPADIA WITH THE USE OF F-II TECHNIQUES (HODGSON-II MODIFICATION)



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Introduction. At the moment present, the problem of choosing the method of correction of distal hypospadias due to persistent numerous postoperative complications has not been completely solved. The most frequent complications are fistulas, stenoses and lysis of neo-urethra. Distal hypospadias is divided into distal stem, coronary and capitate. Features of the anatomical structure of the head, prep and meatus in children with hypospadia are often explained by a deficit of plastic material, which can lead to mistakes in the choice of the method of urethroplasty. The current principles of plastic surgery still do not completely eliminate postoperative complications. Material and methods. Since 2004, due to using the F-II procedure 208 operations have been performed without complications mentioned above. At the moment, the long-term results are being investigated. Results. Prolonged search for the optimal approach for the correction of distal forms of hypospadias suggests the need to modify the Hodgson-II technique and introduce it into clinical practice. In this article, the advantages and principal differences of the operation of F-II in comparison with Hodgson-II modification, a brief literary reference about the current world studies of the complications of distal urethroplasty are presented. Conclusion. When using the urethroplasty with a displaced prepuce flap according to the F-II procedure, we get an advantage over the stock of plastic material in comparison with urethroplasty by local tissues. Compared with the Hodgson technique, we get the best cosmetic and functional result.

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A. Fayzulin

A.I. Evdokimov Moscow State University of Medicine and Dentistry

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A. Mashkov

M.F. Vladimirsky Moscow Regional Research Clinical Institute

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S. Sharkov

Morozov Children’s Municipal Hospital

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A. Sobolevskiy

M.F. Vladimirsky Moscow Regional Research Clinical Institute

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A. Sobolevskiy

M.F. Vladimirsky Moscow Regional Research Clinical Institute

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L. Strelkina

A.I. Evdokimov Moscow State University of Medicine and Dentistry

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P. Kolosova

A.I. Evdokimov Moscow State University of Medicine and Dentistry

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V. Chuprikov

M.F. Vladimirsky Moscow Regional Research Clinical Institute

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参考

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