tailieunhanh - Urethral Reconstructive Surgery - part 3

Trong kết luận, chúng tôi không tin vào cái gọi là cửa sổ tâm lý, cho phép bác sĩ phẫu thuật để thực hiện chỉnh sửa thẩm mỹ không cần thiết trong thời thơ ấu. Ngược lại, chức năng sửa chữa có thể được thực hiện bất cứ khi nào người mẹ cảm thấy thoải mái, giữa cuối ngày 1 | 37 6 Incidence and Indication significantly the number of teenagers and young adults decreased to almost zero while functional reconstructions increased in the same period of time. In conclusion we do not believe in the so-called psychological window which enables the surgeon to perform unnecessary esthetic correction in early childhood. In contrast functional repair can be performed whenever the mother feels comfortable between the end of the 1st and 2nd year but 1 year before the child starts school. In case of operative complications a repeated correction should not be carried out earlier than 9 months following the first operation. Testosterone enanthate 2 mg kg is given parenterally 5 weeks and 2 weeks before surgery Fig. . Meatal position in 500 adults Fig. . Uncorrected hypospadia 65-year-old patient admitted for transurethral resection of the prostate has been shown to improve results. As an alternative 1 dihydrotestosterone cream is applied on the penis every evening for 6 weeks using gloves. Operative Techniques A certain number of new techniques and modifications continue to be published every year. However a certain number of methods are no longer presented in meetings and conferences - although they have been used for many years - and will eventually disappear from the current bibliography. The MAGPI procedure carried out in 1 111 children 5 is only one of the numerous examples. One possible explanation is the human factor. If after an initially successful start the number of complications increases and the conceptual error becomes evident the authors may hesitate to publish these results in the same journal as the original paper. One of the classic examples is the first successful bladder substitution using isolated ileum segments which was published in the Centralblatt fuer Chirurgie in 1888 by Tizzoni and Foggi whose name was actually Poggi . Both of them are still mentioned worldwide as pioneers in the current literature even though their