616 Comparative analysis of treatment strategies for distal and middle hypospadias

Abstract

To investigate the effects of two different surgical methods on the urethral plate-preserving procedures in distal and middle hypospadias. The clinical data of 136 patients with distal and middle hypospadias were collected and retrospectively analyzed. All patients were treated with penile curvature and urethral plate-preserving urethroplasty or glansoplasty simultaneously. Patients aged from 8 months to 32 years, mean age 13.5 years. After 136 patents were performed with treatments of chordee, the external urethral orifice is located between the coronal sulcus and the root of the penis, about 3-8cm away from the glans posterior-anterior position. And then according to the type of urethroplasty, it was divided into two groups. A group: local flap method (including Onlay / Mathieu and other methods) to repair the urethra in 52 cases, B group: TIP (Tubularized incised plate) 84 cases. All patients then performed with glansoplasty, the new external urethral orifice were retrieved to the penis glans anteroposterior.