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Efficacy comparison between Mathieu combined urethral plate incision and onlay island flap urethroplasty for distal hypospadias in patients with urethral plate stenosis

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Asian Journal of Andrology 2024年第4期26卷 433-438页

作者： Tao Zhang An-Bang Zhu Chang-Kun Mao Yong-Sheng Cao Department of Urology Anhui Provincial Children’s HospitalHefei 230000China The Fifth School of Clinical Medicine Anhui Medical UniversityHefei 230000China.

The aim of the study was to compare the efficacy of Mathieu combined urethral plate incision(Mathieu-IP)versus onlay island flap urethroplasty in patients with distal hypospadias complicated by urethral *** clinical data of 70 patients with distal hypospadias complicated by urethral plate stenosis treated in the Department of Urology,Anhui Provincial Children’s Hospital(Hefei,China),from May 2019 to May 2022,were retrospectively ***-eight patients underwent Mathieu-IP(Mathieu-IP group)and 32 underwent onlay island flap urethroplasty(onlay group).Follow-ups at 1 month,6 months,and 12 months postoperatively assessed operative time,complications,urethral meatus morphology,and family *** Mathieu-IP group had significantly shorter operative time(mean±standard deviation[s.d.]:81.58±5.18 min)versus the onlay group(mean±s.d.:110.75±6.05 min;Ponlay group),with no significant difference(P>0.05).Complications were comparable between the *** Mathieu-IP group resulted in a vertical slit-shaped urethral meatus in 89.5%versus 13.8%in the onlay group(P<0.05).Family satisfaction with general penile appearance and skin shape showed no significant differences,but the Mathieu-IP group had higher satisfaction with meatal position(P<0.05).Mathieu-IP offers simplicity,safety,and shorter operative time compared to *** the techniques effectively treat urethral plate stenosis in distal hypospadias,with reduced postoperative complications compared to tubularized incised plate ***-IP results in a vertical slit-shaped urethral meatus which enhances urinary stream,indicating its potential for broader adoption.

关键词： longitudinal urethral plate incision Mathieu onlay island flap urethroplasty urethral stenosis

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