Xu A,Li X,Zeng L,et al. Prevention and management of anastomotic stenosis after hypospadias repair by Duckett’s operation.[J].Journal of Clinical Pediatric Surgery,,18():147-150.
Prevention and management of anastomotic stenosis after hypospadias repair by Duckett’s operation.
Journal of Clinical Pediatric Surgery[ISSN:1671-6353/CN:43-1380/R]
volume:
第18卷
Number:
2019 02
Page:
147-150
Column:
论著
Date of publication:
2019-02-25
- Keywords:
- ; Hypospadias; Ducketts Operation; Stomas; Postoperative Complications; Therapy
- Document code:
- A
- Abstract:
- ObjectiveTo explore the effective methods for preventing and treating anastomotic stenosis after Ducketts procedure of onestage urethroplasty for hypospadias.MethodsA retrospective review was conducted for a total of 486 boys with hypospadias undergoing Ducketts procedure of onestage urethroplasty between September 2007 and September 2017.ResultsThe median age was 3.1(1-14) years.The clinical types of hypospadias included proximal penile (n=108),penoscrotal (n=162) and scrotal (n=216).All children underwent Ducketts procedure of onestage urethroplasty successfully.The total neourethral length was 2 to 6 cm with a median of 3.4 cm.Thirtyseven cases experienced voiding difficulties.Among them,14 cases were relieved after urethral dilatation under local anesthesia;9 cases underwent urethral dilatation and a catheter was implanted through anastomotic stenosis under general anesthesia;14 cases had excision and anastomotic urethroplasty under general anesthesia.All cases urinated decently after operations.The incidence of anastomotic stenosis was 4.7%(23/486).ConclusionAdequate vascularization of flap and proximal neourethral meatus,optimal anastomotic diameter,precise suturing and protection of fascia pedicle can effectively reduce the occurrence of anastomotic stenosis.Urethral dilatation and anastomotic urethroplasty are efficacious for anastomotic stenosis.
Last Update:
2019-02-26