Yu Kechi,Li Ning,Yuan Jiyan,et al.Long-term outcomes for the uses of tubularized incised plate procedure in hypospadias surgery[J].Journal of Clinical Pediatric Surgery,,19():1076-1081.[doi:10.3969/j.issn.1671-6353.2020.12.004]
Long-term outcomes for the uses of tubularized incised plate procedure in hypospadias surgery
- CLC:
- R726.9;R697+.11;R695
- Abstract:
- Objective To explore the long-term outcomes of tubularized incised plate (TIP) procedure for hypospadias.Methods From January 2002 to December 2007,clinical data of 620 children with hypospadias undergoing TIP procedure were analyzed retrospectively.Telephone inquiries and outpatient physical examinations were included for follow-ups.The follow-up details included general profiles (name,age,education & occupation),function of urination (subjective self-descriptions & objective dynamic examinations),sexual life & penile appearance,physical examination (general appearance of external genitalia,shape of penile head & position of urethral opening with or without re-chordee).Results A total of 509 cases (82.1%) were followed up.The average age was 5.8(4-17.5) years and the average follow-up period 21.5(17-33) years.Education:junior middle school (n=228,45%),senior high school (n=214,42%),bachelor’s degree (n=61,12%) and postgraduate degree (n=6,1%).Occupation:students (n=66,13%),workers (n=361,71%),self-employed (n=26,5%) and others (n=56,11%).Micturition function:weak micturition (n=9,1.8%),micturition (n=87,17.0%),urine drain (n=14,2.7%),and urethral diverticula (n=6,1.2%).And there were erection discomfort (n=99,21.2%),pain during erection (n=67,14.3%) and ejaculatory weakness (n=37,7.9%).There was an overall degree of satisfaction of 80.9%.And 418 cases (82.1%) had normal coronal groove morphology while another 91 cases (17.9%) with urethra external orifice in coronal groove.Penile chordee was<20° (n=25,4.9%) and ≥ 20 (n=63,12.4%).Conclusion TIP is one popular surgery for pediatric hypospadias.The cases with abnormal urination or re-chordee received TIP procedure should be taken seriously.
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Memo
收稿日期:2019-09-20。
基金项目:湖北省卫生健康委员会面上项目（编号：WJ2019M135）
通讯作者:周学锋,Email:xfzhou@tjh.tjmu.edu.cn