对严重创伤或多次手术失败、局部瘢痕多、取材困难、皮瓣代尿道易缺血、感染而难度较大者,作者采用近位延迟皮瓣尿道成形术疗效佳。例1:男,24岁。2年前因车祸致下腹、部分阴茎、阴囊及会阴部大面积皮肤撕脱、挤压伤,经几次植皮修复。入院时下腹、会阴多处瘢痕,尿道海绵体、右睾丸及大部分阴囊缺损,原阴囊中部尿道下裂,阴茎下曲畸形,附近仅双股内侧皮肤完好。例2:男,24岁。入院前3年因阴茎-阴囊尿道下裂先后行包皮代尿道及阴囊纵隔代尿道术,均感染 For severe trauma or multiple surgical failure, local scarring, difficult to draw, prone to urethra on behalf of the skin flap, and the more difficult the infection, the use of near-delay flap urethroplasty effective. Example 1: Male, 24 years old. 2 years ago due to a car accident caused by lower abdomen, part of the penis, scrotum and perineal skin avulsion large area, crush injury, after several skin graft repair. On admission, the lower abdomen, perineal multiple scars, urethral sponge, right testes and most of the scrotum defect, the original scrotal central hypospadias, penile deformities, near the only double inside the skin intact. Example 2: Male, 24 years old. 3 years before admission because of the penis - scrotal hypospadias line prepuce urethral and mediastinoscopic urethral surgery, were infected