JIA Wei,WEN Ying-quan,LIU Guo-chang,et al.Analysis of postoperative complication with Snodgrass Urethroplasty for coronal and Mid Penile Hypospadias[J].Journal of Clinical Pediatric Surgery,,12():120-123.[doi:10.3969/j.issn.1671— 6353.2013.02.013]
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Analysis of postoperative complication with Snodgrass Urethroplasty for coronal and Mid Penile Hypospadias

Journal of Clinical Pediatric Surgery[ISSN:1671-6353/CN:43-1380/R] volume: 第12卷 Number: 2013 02 Page: 120-123 Column: 论著 Date of publication: 2013-04-28
Author(s):
JIA Wei; WEN Ying-quan; LIU Guo-chang; et al
Department of Pediatric Urology,Guangzhou Women and Children’s Medical Center,Guangzhou Medical college,Guangzhou 510623,China
Keywords:
Hypospadias/CO;  Hypospadias/SU
DOI:
10.3969/j.issn.1671— 6353.2013.02.013
Abstract:
Objetive To summarize the postoperative complication and treatment of Snodgrass urethroplasty in coronal and mid penile hypospadias repair. Methods In this retrospective study, we analyzed the medical records of 483 boys with coronal and mid penile hypospadias, who underwent Snodgrass urethroplasty between January 2006 to December 2010 in our institution. The details of the procedure are described and the postoperative outcome and treatment of complications are reviewed. Results Mean age of surgery was 4 years and 8 months(range: 8 months～14 years). Mean duration of surgery was 68 min(range: 40～100 min). The overall complication rate was 5.2%. The rate of fistula, meatal stenosis, wound dehiscence, penile distortion and urethral diverticulum occurrence was 3.5%, 2.3%, 1.0%,2.1% and 0.4% respectively. The difference between the incidence of complication after repair of coronal or mid penile hypospadias was found to be statistically insignificant(P<0.05). Urethral fistula and diverticulum needs to be repaired through reoperation. Urethral stenosis improve through urethral dilations. Conclusions Snodgrass urethroplasty is a quick, suitable both for coronal and mid penile hypospadias repair. The complications is very few and easy to deal with.

References:

1 施诚仁,刘国华,陈方.新生儿外科学[M].上海:科技普及出版社,2002,636. 2Baskin LS. Hypospadias and urethral development[J]. J Urol,2000,163:951 — 956. 3Snodgrass WT, Yucel S. Tubularized incised plate for mid shaft and proximal hypospadias repair[J]. J Urol,2007,177:69 8— 702. 4El-Kassaby AW, Al-Kandari AM, Elzayat T, et al. Modified tabularized incised plate urethroplasty for hypospadias repair: a long-term result of 76 4patients[J]. Urology,2008,71:6 11— 615. 5陈国盈. Snodgrass尿道成形术治疗尿道下裂276例[J].临床小儿外科杂志,2009,8:51 — 52. 6陈国盈.尿道下裂术后尿瘘的修补[J].实用儿科临床杂志,2009,24:22 9— 231. 7张潍平.尿道下裂手术[J].临床小儿外科杂志,2007,6:6 5— 67.

Last Update: 2013-04-30