Pan Yongdong,Fang Xiaoliang,Xu Guofeng.Analysis of Risk Factors for Complications Following Reoperation for Hypospadias[J].Journal of Clinical Pediatric Surgery,2025,(03):250-254.[doi:10.3760/cma.j.cn101785-202207006-009]
Analysis of Risk Factors for Complications Following Reoperation for Hypospadias
- Keywords:
- Hypospadias; Complications; Surgical Procedures; Operative; Child
- Abstract:
- Objective To investigate the risk factors for complications following reoperation for hypospadias.Methods A retrospective analysis was conducted on the clinical data of children who underwent reoperation for hypospadias at Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine between December 2019 and December 2021.Patients were divided into two groups based on whether they experienced complications after the final surgery:the complication group and the non-complication group.Data collected included previous surgical history,symptoms at admission,age,weight,intraoperative findings,surgical method,duration of surgery,catheter removal time,length of hospital stay,and urinary system comorbidities.The risk factors for complications after the final surgery were analyzed.Results A total of 106 children were included in this study.Symptoms at admission were classified as:urethral fistula (93 cases),urethral stenosis (8 cases),and urethral diverticulum (5 cases).Complications occurred in 36 cases after the final surgery,including 28 cases of urinary fistula,6 cases of urethral stricture,and 2 cases of urethral diverticulum.Univariate analysis indicated that age,surgical etiology (including the location of the fistula),and the number of previous surgeries were risk factors for complications after reoperation (P<0.05),while surgical type,duration of surgery,presence of other primary urinary tract diseases,and total length of hospital stay were not associated with complications (P>0.05).Multivariate logistic regression analysis showed that age (OR=1.165,95%CI:1.023-1.321),urethral stenosis(OR=3.825,95%CI:1.072-13.645),root fistula (OR=0.411,95%CI:0.184-0.917),having undergone 2 previous surgeries (OR=3.434,95%CI:1.153-10.214),and having undergone 3 or more previous surgeries (OR=10.435,95%CI:1.474-12.451) were independent risk factors for complications following reoperation.Conclusions For children with hypospadias who are undergoing reoperation,individualized surgical plans should be chosen based on the child’s specific situation,ensuring more precise surgical techniques and enhanced postoperative care for high-risk patients to reduce the incidence of complications.
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Memo
收稿日期:2022-7-4。
基金项目:上海市科学技术委员会科研计划项目(23Y21900102)
通讯作者:徐国锋,Email:xuguofeng@xinhuamed.com.cn