Jia Jianghua,Qi Jinchun,Du Lei,et al.Diagnosis and treatment of urethral stricture after hypospadias operations: a report of 69 cases[J].Journal of Clinical Pediatric Surgery,,18():514-517.[doi:10.3969/j.issn.1671-6353.2019.06.015]
Diagnosis and treatment of urethral stricture after hypospadias operations: a report of 69 cases
- Keywords:
- Hypospadia; Postoperative Complications; Urethral Stenosis/TH; Urethral Stenosis/SU; Treatment Outcome
- CLC:
- R726.9;R699.6
- Abstract:
- Objective Through evaluating the effects of different methods for urethral stricture after hypospadias operation,we are trying to find the most suitable treatment for urethral stricture with different conditions. Methods Retrospective analysis was performed for 69 patients of urethral stricture after hypospadias surgery from 2005 to 2016.During a follow-up period of 0.5-11 years,urethral stricture was managed by urethral expansion.Curing was defined as voiding with a thick urinary stream and without urethral diverticulum.For mild urethral stricture,urethra expansion was performed at an interval of greater than 2 months.Results All of them underwent urethral dilatation initially.Twenty-two (31.88%) children were cured by intermittent urethral dilatation; 28 (40.58%) were relieved by indwelling porous silica gel hose bracket; 13 (18.84%) underwent urethral stricture incision plus urethroplasty and 8 became cured; 6 (8.7%) had urethral stricture resection plus second-stage urethroplasty and 4 were cured. Conclusion Intermittent urethral dilatation and indwelling porous silica gel hose bracketing are both effective and safe for patients with urethral stricture after hypospadias surgery.It is worthy of wider popularization.For difficult cases,urethroplasty is preferred.
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Memo
收稿日期:2018-09-10。
通讯作者:齐进春,Email:qjcbaby333@163.com