Modified prepuce-degloving repair for urethrocutaneous fistula following hypospadias surgery / 中华男科学杂志
National Journal of Andrology
; (12): 1091-1094, 2013.
Article
in Zh
| WPRIM
| ID: wpr-267982
Responsible library:
WPRO
ABSTRACT
<p><b>OBJECTIVE</b>To investigate the clinical effect and application value of the modified method of prepuce-degloving repair (PDR) in the treatment of urethrocutaneous fistula (UCF) following hypospadias surgery.</p><p><b>METHODS</b>We retrospectively analyzed 87 cases of UCF caused by hypospadias repair from May 2001 to December 2011, of which 61 were treated by simple closure or Y-V plasty of the fistula (group A), and the other 26 by modified PDR (group B). We compared the success rate of surgery and long-term recurrence between the two groups.</p><p><b>RESULTS</b>The total success rates of repair were 78.7 and 96.2% in groups A and B, respectively. Thirteen cases in group A did not respond to surgery, of which 6 failed to be cured by the second operation but later were treated successfully by modified PDR. In comparison, there was only 1 case of failure in group B, which was cured by a second PDR.</p><p><b>CONCLUSION</b>Modified PDR can significantly improve the success rate and reduce the recurrence rate of UCF after hypospadias surgery, which deserves wide clinical application.</p>
Full text:
1
Index:
WPRIM
Main subject:
General Surgery
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Urologic Surgical Procedures, Male
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Retrospective Studies
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Urinary Fistula
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Treatment Outcome
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Plastic Surgery Procedures
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Foreskin
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Hypospadias
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Methods
Type of study:
Observational_studies
Limits:
Child
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Child, preschool
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Humans
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Male
Language:
Zh
Journal:
National Journal of Andrology
Year:
2013
Type:
Article