Friday, October 18, 2013

hypospadias(尿道下裂)

症狀/併發症(symptom/complication)
@Abnormal urethral opening 
資料來源:gaurology
@Ventral curvature on erection-->Chordee
資料來源:springerimages
@Redundant dorsal prepuce
資料來源:readcube
accompany disease
@undescended testes
@Inguinal hernia
@Spinal abnormality
病因(etiology)
typing
anterior, middle and posterior
資料來源:gaurology
|Abnormal androgen secretion
|Deficiency of androgen receptor
|Decreased sensitivity of androgen 
檢查/準則(examination/criteria)

治療(treatment)
$treat during 6~12 months
$Orthoplasty: straight penis, most common $Nesbit procedure
$Urethroplasty: create a urethra, meatal advancement techniques, Tubularization with incision of urethral plate, TIP ....
$Meatoplasty and $glanuloplasty: re-form the glans into a more natural conical configuration
$Indwelling urethral drippy stent for 7 to 14 days  after surgery
$surgery complication
$$Urethrocutaneous fistulas
$$Urethral stricture 
鑑別診斷(Differential Diagnosis)

流行病學(Epidemiology)
+1/300 prevalence

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