Engelsk titel: A ten-year retrospective study of patients operated for hypospadias
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Författare:
Asklund C
;
Kirkby B
Email: camilla.asklund@rh.dk
Språk: Dan
Antal referenser: 20
Dokumenttyp:
Artikel
UI-nummer: 07011766
Sammanfattning
Introduction: Retrospectively we evaluated the surgical treatment of all primary operations for hypospadias performed at the Department of Plastic- and Reconstructive Surgery, Herlev University Hospital, over a period of ten years. During this time we changed the concept of surgical procedure from various two-stage techniques to a new one-stage modification (Scuderi's vascularised vertical preputial island flap combined with a triangular flap glanuloplasty and other refinements). Secondly, we evaluated the pre- and postoperative examination. Materials and methods: During the period 1993-2003, 96 patients were primarily operated. The new one-stage technique was used in 58 patients, all performed by the same surgeon. The standardised follow-up time was three months. Results: Complications consisted of five urethrocutaneous fistulas (8.6%) and four meatal stenosis (6.7%), and the functional and cosmetic short-term outcome was satisfactory using the new one-stage procedure. The number of operations per patient was reduced from 4.57 to 1.26. We found the pre- and postoperative examination inadequate concerning classification of hypospadias type and possible associated malformations (cryptorchidism). Conclusion: The short-term functional and cosmetic outcome of the new one-stage technique was satisfactory. The complication rate was low. However, the study was associated with severe methodological problems. On this background we suggest a national standardised registration of all boys operated for hypospadias.