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Analysis of complications after repair of hypospadias

Hansson, Emma LU ; Becker, Magnus LU ; Åberg, Magnus LU and Svensson, Henry LU (2007) In Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery 41(3). p.120-124
Abstract
We have reviewed 184 patients after repair of primary hypospadias. They were operated on and followed-up according to a standard protocol, and the senior author (HS) participated in all operations. The patients were reconstructed using a Byars two-stage procedure ( n = 102) or a Scuderi ( n = 29) or Mathieu ( n = 41) single-stage procedure. The rest ( n = 12) just had a removal of the chordee with realignment of the skin. Complications recorded were haematomas, postoperative infections, malfunction of catheter, urinary retention, fistulas, and strictures. Thirty-eight complications developed in 26 patients and the overall incidence of fistula was 22 in 18 patients (10%). Our findings suggest that the most decisive risk factor for... (More)
We have reviewed 184 patients after repair of primary hypospadias. They were operated on and followed-up according to a standard protocol, and the senior author (HS) participated in all operations. The patients were reconstructed using a Byars two-stage procedure ( n = 102) or a Scuderi ( n = 29) or Mathieu ( n = 41) single-stage procedure. The rest ( n = 12) just had a removal of the chordee with realignment of the skin. Complications recorded were haematomas, postoperative infections, malfunction of catheter, urinary retention, fistulas, and strictures. Thirty-eight complications developed in 26 patients and the overall incidence of fistula was 22 in 18 patients (10%). Our findings suggest that the most decisive risk factor for complications is the severity of the primary malformation, because a severe malformation per se is difficult to treat as it requires a long reconstruction; in addition the curvature, shortage of tissue, and extensive surgery generally require a staged reconstruction in these cases. Other factors seem to be of much lesser importance. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
long-term follow-up, complication, chordee, hypospadias, urethroplasty
in
Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery
volume
41
issue
3
pages
120 - 124
publisher
Taylor & Francis
external identifiers
  • wos:000246721500005
  • scopus:34248570003
ISSN
1651-2073
DOI
10.1080/02844310701228669
language
English
LU publication?
yes
id
47c76d1c-3ee7-45cc-b95b-3a1e17d3576e (old id 662901)
date added to LUP
2007-12-07 16:22:50
date last changed
2017-08-27 05:09:59
@article{47c76d1c-3ee7-45cc-b95b-3a1e17d3576e,
  abstract     = {We have reviewed 184 patients after repair of primary hypospadias. They were operated on and followed-up according to a standard protocol, and the senior author (HS) participated in all operations. The patients were reconstructed using a Byars two-stage procedure ( n = 102) or a Scuderi ( n = 29) or Mathieu ( n = 41) single-stage procedure. The rest ( n = 12) just had a removal of the chordee with realignment of the skin. Complications recorded were haematomas, postoperative infections, malfunction of catheter, urinary retention, fistulas, and strictures. Thirty-eight complications developed in 26 patients and the overall incidence of fistula was 22 in 18 patients (10%). Our findings suggest that the most decisive risk factor for complications is the severity of the primary malformation, because a severe malformation per se is difficult to treat as it requires a long reconstruction; in addition the curvature, shortage of tissue, and extensive surgery generally require a staged reconstruction in these cases. Other factors seem to be of much lesser importance.},
  author       = {Hansson, Emma and Becker, Magnus and Åberg, Magnus and Svensson, Henry},
  issn         = {1651-2073},
  keyword      = {long-term follow-up,complication,chordee,hypospadias,urethroplasty},
  language     = {eng},
  number       = {3},
  pages        = {120--124},
  publisher    = {Taylor & Francis},
  series       = {Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery},
  title        = {Analysis of complications after repair of hypospadias},
  url          = {http://dx.doi.org/10.1080/02844310701228669},
  volume       = {41},
  year         = {2007},
}