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Hypospadias in toddlers:a multivariable study of prognostic factors in distal to mid-shaft hypospadias and review of literature

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World Journal of Pediatric Surgery 2022年第1期5卷 47-54页

作者： M Reza Roshandel Tannaz Aghaei Badr fahimeh kazemi rashed Samantha Salomon Seyyed Mohammad Ghahestani Fernando A Ferrer Department of Urology Icahn School of Medicine at Mount SinaiNew YorkNew YorkUSA Icahn School of Medicine at Mount Sinai New YorkNew YorkUSA Department of Urology Tabriz University of Medical SciencesTabrizIran Department of Family Medicine St John’s Episcopal HospitalFar RockawayNew YorkUSA Department of Urology Tehran University of Medical SciencesTehranIran

Background Tubularized incised plate urethroplasty is the most common hypospadias repair ***,there are unanswered questions and debates about the anatomical prognostic factors affecting the repair *** study tried to address some of the problems in the studies compromising the results of the current body of *** A prospective cohort of 101 males aged 1-3 years undergoing primary distal to mid-shaft hypospadias repair were enrolled in the *** including edema,erection,inadvertent removal of the urethral stent,surgical wound infection,bladder spasm,hematoma,and hemorrhage were *** in the current literature were reviewed to achieve a better perspective for future *** Persistent complications were found in 16 cases(15.8%)including fistula formation,the persistence of chordee,meatal stenosis,glans,and urethral *** mean follow-up time was 6.6±3.4 *** the single-variable analysis,the meatal location,the length and width of the urethral plate,and the reversible acute postoperative events were significantly associated with the ***,fistula formation was associated with acute surgical site infection(p0.05).Conclusions Our study on the toddlers with hypospadias surgery revealed that the location of urethral meatal was the main predicting factor in the development of major ***,the fistula formation at the infected surgical site emphasizes the importance of postsurgical care.

关键词： bladder wound dimensions

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