Outcomes of Hypospadias Repair Based on Surgical Techniques: A 4-Year Retrospective Study.

IF 2 Q2 UROLOGY & NEPHROLOGY

Research and Reports in Urology Pub Date : 2024-03-27 eCollection Date: 2024-01-01 DOI:10.2147/RRU.S451552

Aisha Gabra, Badr Mohammed Beyari, Sara Jamal AlNuwaiser, Sarah Mamdouh Allaf, Reem Alghanmi, Rahaf Alrayiqi, Faisal Mosaad, Mazen Kurdi

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引用次数: 0

Abstract

Purpose: This study aimed to report the outcomes of hypospadias repair performed at a tertiary-level hospital during 2018 to 2021.

Methods: A retrospective chart review of 119 patients was performed.

Results: The most frequent coronal hypospadias cases were distal. However, the most common scrotal hypospadias cases were proximal. The average age at the time of the first surgery was 2.4 years (standard deviation, ±2.3 years). The tubularised incised plate technique was performed for 57 of these 119 patients. Urethral fistula was the most common complication associated with distal and proximal cases (23.96% and 30.43%, respectively). No significant correlation was observed between any complication and the surgical technique. Based on the logistic regression model, the duration of urethral stenting was statistically significant (p=0.025), indicating that a urinary catheter duration of more than 5 days resulted in a 2.9-times increased risk of postoperative urethral fistula.

Conclusion: Prolonged urethral stenting for more than 5 days may result in subsequent urethral fistula development. Neither the severity of hypospadias nor the surgical technique seems to affect postoperative complications.

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基于手术技术的尿道下裂修复效果：一项为期 4 年的回顾性研究

目的：本研究旨在报告2018年至2021年期间在一家三级甲等医院进行的尿道下裂修补术的结果：对119例患者进行了回顾性病历审查：最常见的冠状沟尿道下裂病例为远端。然而，最常见的阴囊尿道下裂病例是近端。首次手术时的平均年龄为2.4岁（标准偏差为±2.3岁）。在这119例患者中，有57例采用了管状切板技术。尿道瘘是远端和近端病例中最常见的并发症（分别占 23.96% 和 30.43%）。没有观察到任何并发症与手术技术之间存在明显的相关性。根据逻辑回归模型，尿道支架植入时间的长短具有统计学意义（P=0.025），表明导尿时间超过5天会导致术后尿道瘘的风险增加2.9倍：结论：尿道支架置入时间超过 5 天可能会导致尿道瘘的发生。尿道下裂的严重程度和手术技术似乎都不会影响术后并发症。

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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来源期刊

Research and Reports in Urology UROLOGY & NEPHROLOGY-

CiteScore

3.40

自引率

0.00%

发文量

审稿时长

16 weeks

期刊介绍： Research and Reports in Urology is an international, peer-reviewed, open access, online journal. Publishing original research, reports, editorials, reviews and commentaries on all aspects of adult and pediatric urology in the clinic and laboratory including the following topics: Pathology, pathophysiology of urological disease Investigation and treatment of urological disease Pharmacology of drugs used for the treatment of urological disease Although the main focus of the journal is to publish research and clinical results in humans; preclinical, animal and in vitro studies will be published where they will shed light on disease processes and potential new therapies. Issues of patient safety and quality of care will also be considered.