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The Journal of Visualized Experiments (JoVE) is a peer reviewed, PubMed-indexed video journal. Our mission is to increase the productivity of scientific research.
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Department of Urology, Pediatric Urology, Johns Hopkins School of Medicine
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Wang, M. Surgical Management of Meatal Stenosis with Meatoplasty. J. Vis. Exp. (45), e2213, doi:10.3791/2213 (2010).
包皮环切术后尿道狭窄是一种常见的的泌尿系统并发症。儿童目前他们的初级保健医生偏离尿流的投诉，难以目的，尿痛，尿频。临床检查发现一个精确的鼻道，如果孩子要小便，他通常也会有一个向上的，瘦的，偶尔有力的膀胱排空不全尿流。管理的主体是meatoplasty（重建远端尿道/鼻道）。这种教育视频将证明这是如何进行的。
简介：
生殖器疾病是经常遇到的初级保健医生的办公室。尿道外口狭窄，尿道口（鼻道）的异常缩小包皮环切术后发生在9％-10％的男性是一种常见的并发症。这种疾病的特点是向上偏转，难以对目标流尿，排尿困难，尿急，频繁，长期排尿。如果不及时治疗，这可能会导致尿路感染和肾脏问题。手术meatotomy / meatoplasty有疗效。
治疗/诊断程序：
常规的尿液分析将排除尿路感染或糖尿病，尿频的潜在原因。
详细询问病史和体检，包括排尿的观察，确诊。
门诊手术/ meatoplasty有疗效。过程5-10分钟麻醉下进行。
术中准备包括手术放大镜放大，蚊子止血，细尖塑料显微剪刀，Castroviejo持针器，和7-0薇乔缝线;
恢复时间是最小的，和孩子送到家庭与泰诺不适需要。凡士林是适用于伤口3-4x/day。
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结果：
症状性尿道狭窄是令人沮丧的儿童和家庭。如果不及时治疗，有一个潜在的慢性膀胱排空不全，尿路感染和随后的肾功能损害的偶然发展。
重建meatoplasty治疗，可以做一个简短的麻醉下。
结论：
尿道外口狭窄是常见的并发症的割礼。一个彻底的历史和物理，就会发现尿道外口狭窄的诊断。手术治疗是根治性治疗。良好的执行meatoplasty，可以做到以最小的仪器。
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没有利益冲突的声明。
作者感谢约翰霍普金斯大学的手术室工作人员，并在约翰霍普金斯儿童医院的儿科部媒体关系。
| Name | Company | Catalog Number | Comments |
| Betadine | |||
| Mosquito hemostat | |||
| Microsurgical scissor | |||
| Castroviejo needle driver | |||
| 7-0 vicryl suture | Ethicon Inc. |
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ReplyPosted by: Majed S.December 11, 2010, 2:44 PM