[The surgical treatment of hypospadias using the CO2 laser]

The paper presents the results of plastic reconstruction of the urethra using local tissues according to Browne, Duplay, Cecil as well as CO2-laser scalpel technique. Altogether 140 patients underwent operations, the majority of whom were boys aged 1.5-13 years (87.1%). The authors employed preoperative correction of reactivity disorders found in the above patients which included stimulation of leukopoiesis, activation of phagocytosis. Good immediate results of CO2-laser procedures are attributed to complete hemostasis achieved at dissection of the flap, sterility of the operative area and thermal factor able to reduce the duration and traumatic damage of the interventions. The authors support two-stage approach to correction of the urethral defect. Uneventful developments after operative establishment of the urethra depend on creation of urine bypass by means of epicystostomy. Longterm results were followed up in 70 patients, of whom 55 had good outcomes and 15 satisfactory. No failures occurred.