V.Ya. Barukhovych

Morphofunctional features of the microhemocirculation of the penile skin in children with hypospadias

52 patients aged 6 months through 3 years with various forms of hypospadias and 20 patients of the same age with congenital phimosis were examined. Methods of laser Doppler flowmetry and morphological analysis were used to study the microhemocirculation of the penile skin, as a material for urethroplasty. Comparison of the results of morphometric studies, which included the determination of the proportion of the total cross sectional area of vessels in the penile skin within standardized field of vision, with indicators of microhemocirculation, according to the LDF, brought out a direct correlation. The variability of microhemocirculatory parameters, according to the results of LDF, was in direct relation to the density of functioning capillaries. Blood flow in the penile skin was characterized by the highest measure of average blood flow. The zone of the penile skin with the nearest indicators of microcirculation to those of the glans skin, is considered the optimal for urethroplasty.