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Zhonghua Nan Ke Xue. 2013 Dec;19(12):1091-4.

[Modified prepuce-degloving repair for urethrocutaneous fistula following hypospadias surgery].

[Article in Chinese]

Author information

  • Department of Urology, The First Affiliated Hospital of Nanjing Medical University, Jiangsu 210029, China.

Abstract

OBJECTIVE:

To investigate the clinical effect and application value of the modified method of prepuce-degloving repair (PDR) in the treatment of urethrocutaneous fistula (UCF) following hypospadias surgery.

METHODS:

We retrospectively analyzed 87 cases of UCF caused by hypospadias repair from May 2001 to December 2011, of which 61 were treated by simple closure or Y-V plasty of the fistula (group A), and the other 26 by modified PDR (group B). We compared the success rate of surgery and long-term recurrence between the two groups.

RESULTS:

The total success rates of repair were 78.7 and 96.2% in groups A and B, respectively. Thirteen cases in group A did not respond to surgery, of which 6 failed to be cured by the second operation but later were treated successfully by modified PDR. In comparison, there was only 1 case of failure in group B, which was cured by a second PDR.

CONCLUSION:

Modified PDR can significantly improve the success rate and reduce the recurrence rate of UCF after hypospadias surgery, which deserves wide clinical application.

PMID:
24432620
[PubMed - indexed for MEDLINE]
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