Chen HC,Tang YM,Xu YB,et al.Application and immediate efficacy of Bucks fascia reconstruction on ventral aspect of penis for repairing severe hypospadias.[J].Journal of Clinical Pediatric Surgery,,18():130-135.
Click Copy

Application and immediate efficacy of Bucks fascia reconstruction on ventral aspect of penis for repairing severe hypospadias.

Journal of Clinical Pediatric Surgery[ISSN:1671-6353/CN:43-1380/R] volume: 第18卷 Number: 2019 02 Page: 130-135 Column: 论著 Date of publication: 2019-02-25
Author(s):
Chen HC; Tang YM; Xu YB; et al.
1.Department of Pediatric Surgery,Xiamen Maternal & Childrens Health Hospital,Xiamen 361003,China; 2.Department of Pediatric Surgery,Sichuan Academy of Medical Science,Sichuan Provincial People’s Hospital & Affiliated Children’s Medical Center,University of Electronic Science & Technology University,Chengdu 610041,China.
Keywords:
Hypospadias;  Urethroplasty;  Surgical Repair;  Treatment Outcome
CLC:
R726.9 R691.1 R699.6
Document code:
A
Abstract:
ObjectiveTo explore the application and immediate efficacy of Bucks fascia reconstruction on ventral penile aspect during repairing of severe hypospadias.MethodsFrom June 2016 to December 2017,43 cases of severe hypospadias were treated.The average age was 16 (7-98) months.Forty primary operations were performed.Among 36 cases of severe hypospadias,the types were penile scrotal (n=10),scrotal (n=15) perineal (n=11).And there were 4 cases of congenital short urethra.The complications included penile scrotum transposition (n=35),penile exposure (n=21),cryptorchidism (n=7),indirect inguinal hernia (n=9) and indirect inguinal hernia (n=3).Three cases had residual penile Ⅳ type of lower curvature after external hypospadias surgery.The technique of Bucks fascia reconstruction was applied on ventral penile aspect for reconstructing urethra.Urethra was reformed with inner plate coil of free foreskin.And then we observed urinary flow rate,complications and HOSE grade during immediate postoperative period.ResultsFortythree cases were operated within one period.The average length of urethral reconstruction was 3.8(2.5-7.5) cm.And transposition of penile scrotal,penile exposure,cryptorchidism and oblique hernia were completely corrected.The average followup period was 11 (5-23) months.After 3month followup,penile extension appeared to be satisfactory and penile scrotum transposition was corrected with satisfactory appearances.Twentyeight cases received the examination of urinary flow rate.The maximal urinary flow rate was 4.5-12.8 ml/sec with an average of 8.2 ml/sec.The HOSE score was 13-16 points with an average of 15.1 points.The postoperative complications included urinary fistula (n=3),scrotal infection (n=1) and poor penile exposure (n=3).There was no onset of urethral stricture,skin necrosis or urethral diverticulum.The success rate of onetime operation was 93% (40/43).Two patients of urethral fistula were successfully repaired after over 6 months.ConclusionSevere hypospadias may be treated by Bucks fascia reconstruction with an excellent immediate efficacy.
Last Update: 2019-02-26