Modified prepuce-degloving repair for urethrocutaneous fistula following hypospadias surgery / 中华男科学杂志
National Journal of Andrology
;
(12): 1091-1094, 2013.
Article
in Chinese
| WPRIM
| ID: wpr-267982
ABSTRACT
<p><b>OBJECTIVE</b>To investigate the clinical effect and application value of the modified method of prepuce-degloving repair (PDR) in the treatment of urethrocutaneous fistula (UCF) following hypospadias surgery.</p><p><b>METHODS</b>We retrospectively analyzed 87 cases of UCF caused by hypospadias repair from May 2001 to December 2011, of which 61 were treated by simple closure or Y-V plasty of the fistula (group A), and the other 26 by modified PDR (group B). We compared the success rate of surgery and long-term recurrence between the two groups.</p><p><b>RESULTS</b>The total success rates of repair were 78.7 and 96.2% in groups A and B, respectively. Thirteen cases in group A did not respond to surgery, of which 6 failed to be cured by the second operation but later were treated successfully by modified PDR. In comparison, there was only 1 case of failure in group B, which was cured by a second PDR.</p><p><b>CONCLUSION</b>Modified PDR can significantly improve the success rate and reduce the recurrence rate of UCF after hypospadias surgery, which deserves wide clinical application.</p>
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
General Surgery
/
Urologic Surgical Procedures, Male
/
Retrospective Studies
/
Urinary Fistula
/
Treatment Outcome
/
Plastic Surgery Procedures
/
Foreskin
/
Hypospadias
/
Methods
Type of study:
Observational study
Limits:
Child
/
Child, preschool
/
Humans
/
Male
Language:
Chinese
Journal:
National Journal of Andrology
Year:
2013
Type:
Article
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