Modified onlay island flap versus tubularized incised plate urethroplasty for hypospadias reoperation
作者机构：Department of UrologyChildren's Hospital of Nanjing Medical UniversityNanjing 210008China
出 版 物：《Asian Journal of Andrology》 (亚洲男性学杂志（英文版）)
年 卷 期：2023年第25卷第5期
页 面：583-586页
核心收录：
学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学]
主 题：children hypospadias reoperation urethroplasty
摘 要：This study aimed to assess the outcomes of modified onlay island flap(MOIF)urethroplasty for hypospadias reoperation.A retrospective analysis was conducted using clinical data on children reoperated with MOIF or tubularized incised plate(TIP)urethroplasty for hypospadias in the Children s Hospital of Nanjing Medical University(Nanjing,China)from December 2016 to September 2020.A total of 90 children with hypospadias who failed primary repair and were reoperated on with MOIF(MOIF group,n=46)or TIP urethroplasty(TIP group,n=44)were *** children were postoperatively followed up for at least 6 *** patients with postoperative urinary fistula,2 patients with glans dehiscence,and 1 patient with urethral diverticulum were reported in the MOIF group,while 7 patients with postoperative urinary fistula,2 patients with urethral stricture,and 1 patient with glans dehiscence were reported in the TIP *** infection,flap necrosis and other complications were not recorded.A total of 37(80.4%)patients in the MOIF group and 34(77.3%)patients in the TIP group were successfully *** the success rates of MOIF and TIP urethroplasty are comparable,pediatricians should master different types of repair techniques for individualized hypospadias *** urethroplasty can be recommended after failure of the primary repair.
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