Evaluation of preputial graft urethroplasty in primary repair of narrow plate hypospadias

Mohamed N. Dorgham, H. Elsaket, S. Kaddah, Hamed M. Seleim, Osama A. Awad
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Abstract

There is yet no perfect Procedure for repairing hypospadias. In certain cases, a graft is required to reinforce the poor urethral plate (UP). The study aims to assess the efficacy of dorsal inlay preputial graft urethroplasty (DIGU) as a primary repair for narrow urethral plate distal and mid-penile hypospadias. A 40- child who underwent dorsal inlay preputial graft urethroplasty Repair for primary distal or mid-penile hypospadias at least 6 months old, as well as a UP less than 8 mm in a noncircumcised penis, were included in the research. The success rate was 75% (30 patients) and the Complications rate was 25% (10 patients). Six (60%) of the ten complicated patients had UP widths of 2.5–4 mm (total of 8 patients), implying that 75% of these patients had complications. There were four patients with fistula, two patients with meatal stenosis, two patients with meatal retraction, and two patients with failure. One of the main factors influencing the surgical result of the hypospadias correction is the width and configuration of the UP.
对窄板尿道下裂初次修复中的耻骨前移植尿道成形术进行评估
目前还没有完美的尿道下裂修复术。在某些情况下,需要通过移植来加固不佳的尿道板(UP)。本研究旨在评估背侧嵌顿尿道前壁移植尿道成形术(DIGU)作为狭窄尿道板远端和中段尿道下裂主要修复方法的疗效。 研究对象包括 40 名至少 6 个月大的因原发性尿道上裂远端或中段尿道下裂而接受背侧嵌顿前尿道移植尿道成形术修复术的儿童,以及非包皮环切阴茎中的尿道上裂小于 8 毫米者。 成功率为 75%(30 名患者),并发症率为 25%(10 名患者)。在 10 名并发症患者中,有 6 名(60%)患者的阴茎海绵体肌宽度为 2.5-4 毫米(共 8 名患者),这意味着这些患者中有 75% 出现了并发症。其中 4 名患者出现瘘管,2 名患者出现肉腔狭窄,2 名患者出现肉腔回缩,2 名患者出现手术失败。 尿道下裂矫正手术效果的主要影响因素之一是尿道上裂的宽度和结构。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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