Application of Staged Island Prepuce Flap Urethral Plate Reconstruction in Severe Hypospadias

Shipeng FAN; Jihong SHEN; Haiyuan LI; Hongbin GAO; Ning LUO; Hui ZHAO

doi:10.12259/j.issn.2095-610X.S20221106

Volume 43 Issue 11

Nov. 2022

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Shipeng FAN, Jihong SHEN, Haiyuan LI, Hongbin GAO, Ning LUO, Hui ZHAO. Application of Staged Island Prepuce Flap Urethral Plate Reconstruction in Severe Hypospadias[J]. Journal of Kunming Medical University, 2022, 43(11): 52-57. doi: 10.12259/j.issn.2095-610X.S20221106

Citation:

Shipeng FAN, Jihong SHEN, Haiyuan LI, Hongbin GAO, Ning LUO, Hui ZHAO. Application of Staged Island Prepuce Flap Urethral Plate Reconstruction in Severe Hypospadias[J]. Journal of Kunming Medical University, 2022, 43(11): 52-57. doi: 10.12259/j.issn.2095-610X.S20221106

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Application of Staged Island Prepuce Flap Urethral Plate Reconstruction in Severe Hypospadias

doi: 10.12259/j.issn.2095-610X.S20221106

Dept. of Urology，The 1st Affiliated Hospital of Kunming Medical University， Kunming Yunnan 650032，China

Received Date: 2022-07-16
Available Online: 2022-10-28
Publish Date: 2022-11-14

Abstract

Abstract

Objective To study the clinical effect of staged Island prepuce flap urethral plate reconstruction in the treatment of severe hypospadias. Methods Twenty-eight patients with severe hypospadias treated in our hospital from November 2013 to March 2022 were selected for the study. According to the different surgical methods, the patients were divided into two groups: staged island prepuce flap urethral plate reconstruction group （group A） and traditional staged operation （one-stage extension of penis and two-stage urethroplasty） group （group B）. The age, operation time, blood loss, postoperative complications of patients or relatives treatment confidence and cure rate were compared between the 2 groups. Results Thirteen patients were aged from 2 to 34 years at the time of first operation,and the urethral defect length was 3.5-6 cm. Fifteen patients, aged from 2 to 27 years at the time of the first operation, had a urethral defect of 3-6 cm in length. There were no significant differences in age, treatment time, intraoperative blood loss and treatment between the two groups. In the staged island foreskin flap urethral plate reconstruction operation group, 2 cases developed urethral fistula after the operation, and the other 1 case developed urethral rupture at the head of the penis. Re-repair of urethral fistula/urethroplasty. There were 4 cases of urethral fistula and 2 cases of urethral stricture and a urethral diverticulum in the traditional staged operation group. Need to re-operation urethral fistula repair/urethroplasty, urethral dilatation to cure. The surgical success rate of the staged island foreskin plate urethral plate reconstruction surgery group was 76.9%, and the surgical success rate of the traditional staged surgery group was 60.0%. Conclusions Staged Island prepuce flap urethral plate reconstruction has become an important method to cure hypospadias by stages. It has good safety, satisfactory appearance, low complication rate and clinical application value for moderate and severe hypospadias.
- Hypospadias,
- Two-stage surgery,
- Urethroplasty

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References(22)

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