Complications of proximal hypospadias repair with transverse preputial island flap urethroplasty: a 15-year experience with long-term follow-up / 亚洲男科学杂志(英文版)
Asian Journal of Andrology
;
(6): 300-303, 2019.
Artículo
en Inglés
| WPRIM
| ID: wpr-1009708
ABSTRACT
There is still debate regarding the optimal surgical approach for proximal hypospadias. This retrospective study aims to evaluate the long-term outcomes using transverse preputial island flap urethroplasty. A total of 320 patients were included, with a mean follow-up of 40.2 months (range 1-156 months). Complications were encountered in 125 patients (39.1%), including fistulas in 53 (16.6%), urethral strictures in 31 (9.7%), and diverticula in 41 (12.8%). The mean timing of presentation with a complication was 15.8 months (median 1.7, range 1-145), of which 79.2% were early complications and 20.8% were late complications. In all, 20.8% of the patients with complications presented after ≥1 year, and 12.8% presented after ≥5 years. Univariate analysis revealed that age at the time of surgery, flap length, and location of the urethral meatus were not correlated with complications. A stricture was present in 31.7% (13/41) of those with diverticula (P < 0.001), while late urethral diverticula were accompanied by urethral strictures in 11.1% (1/9) of cases (P = 0.213). These results indicate that transverse preputial island flap urethroplasty still has a high incidence of complications, even when performed by highly experienced physicians. Most complications of hypospadias are diagnosed within 1 year postoperatively, while fistulas and urinary strictures generally occur within 2 months and diverticula tend to be present by 1 year.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Complicaciones Posoperatorias
/
Procedimientos Quirúrgicos Urológicos Masculinos
/
Colgajos Quirúrgicos
/
Uretra
/
Estrechez Uretral
/
Incidencia
/
Estudios Retrospectivos
/
Estudios de Seguimiento
/
Factores de Edad
/
Divertículo
Límite:
Niño
/
Child, preschool
/
Humanos
/
Lactante
/
Masculino
Idioma:
Inglés
Revista:
Asian Journal of Andrology
Año:
2019
Tipo del documento:
Artículo
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