Abstract
BackgroundThis study was designed to summarize the clinical outcomes of transverse preputial island flap urethroplasty for single-stage correction of proximal hypospadias in our hospital.MethodThis study retrospectively analysed the clinical data, including the preoperative general information, intraoperative and postoperative data, and follow-up data, of 155 children with proximal hypospadias who were admitted to our hospital from January 2009 to January 2019.ResultsDuring follow-up, a total of 92 postoperative complications occurred, and 41 patients underwent reoperation. There were 49 patients with urinary fistula, 26 patients with urethral stricture, 9 patients with urethral diverticulum and 8 patients with urinary tract infection. Regarding the family members’ satisfaction with the cosmetic appearance of the penis, the satisfaction rate with the urinary meatus was 85.2%, the satisfaction rate with the glans appearance was 87.7%, the satisfaction rate with the the appearance of the foreskin of the penis was 92.3%, and the satisfaction rate with the overall penis shape was 89.0%.ConclusionProximal hypospadias is a serious condition that is often combined with severe chordee, and transverse preputial island flap urethroplasty for single-stage correction is an effective surgical procedure for treating this condition.
Highlights
This study was designed to summarize the clinical outcomes of transverse preputial island flap urethroplasty for single-stage correction of proximal hypospadias in our hospital
Proximal hypospadias refers to a urinary meatus that is located at the shaft of the penis near the scrotum, the junction of the
This study retrospectively analysed the clinical data of patients receiving transverse preputial island flap urethroplasty for single-stage correction of proximal hypospadias in our hospital in the past 10 years, and we summarized our clinical experience over these 10 years
Summary
This study was designed to summarize the clinical outcomes of transverse preputial island flap urethroplasty for single-stage correction of proximal hypospadias in our hospital. Long CJ et al found that single-stage surgery led to a higher incidence of postoperative complications than two-stage surgery [4]. Recent studies have shown that the complication rate of two-stage surgery was higher than expected, reaching as high as 30–68%, and with the improvements in surgery technology, single-stage surgery did not lead to an increase in the incidence of postoperative complications and can reduce the number of operations needed [5, 6]. This study retrospectively analysed the clinical data of patients receiving transverse preputial island flap urethroplasty for single-stage correction of proximal hypospadias in our hospital in the past 10 years, and we summarized our clinical experience over these 10 years
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