The Efficacy of Active Fistulation in Duckett Procedure for Proximal Hypospadias in Children.

IF 1.5 4区医学 Q3 UROLOGY & NEPHROLOGY Urology Journal Pub Date : 2024-06-12 DOI:10.22037/uj.v21i.8064

Linghua Ji, Ze Yang, Tianyi Ji, Yang Yang, Qiyou Yin, Hua Xian, Wenliang Ge

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Abstract

Purpose: To explore the efficacy of active fistulation in the treatment of proximal hypospadias in children by comparing one-stage and two-stage Duckett procedure.

Materials and methods: A total of sixty-seven children who were diagnosed with proximal hypospadias and underwent Duckett operation at our hospital between January 2013 and January 2021 were selected for this study. These subjects were divided into two groups: the research group (n=36), using two-stage Duckett procedure with active fistulation, and the control group (n=31), using one-stage Duckett procedure. The incidence of postoperative complications and the score of pediatric penile perception Scale were compared between the two groups.

Results: The research group exhibits significantly lower incidence rate of urethral fistula (8.3% Vs 16.1%) and urethral stricture (5.6% Vs 12.9%) in comparison to the control group (P<0.01). Furthermore, the analysis of Pediatric Penile Perception Scale scores indicates that the research group achieves significantly higher scores in terms of urethral shape, penile skin shape, and overall appearance than the control group (P<0.05). Conclusion: In the treatment of proximal hypospadias in children, The active fistulation within the two-stage Duckett procedure significantly reduces the rate of stage 1 postoperative complications and improves parental satisfaction. The active fistulation may offer a more promising option for the treatment of proximal hypospadias in children.

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儿童尿道下裂 Duckett 手术中主动瘘的疗效

目的：通过比较一期和二期Duckett手术，探讨主动造瘘治疗儿童尿道下裂的疗效：本研究选择了 2013 年 1 月至 2021 年 1 月期间在我院确诊为尿道下裂并接受 Duckett 手术的 67 名儿童。这些受试者被分为两组：研究组（36 人），采用两段式 Duckett 手术并主动造瘘；对照组（31 人），采用一段式 Duckett 手术。比较两组术后并发症的发生率和小儿阴茎感知量表的评分：研究组尿道瘘（8.3% Vs 16.1%）和尿道狭窄（5.6% Vs 12.9%）的发生率明显低于对照组（P＜0.05）。

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来源期刊

Urology Journal UROLOGY & NEPHROLOGY-

CiteScore

2.60

自引率

6.70%

发文量

审稿时长

6-12 weeks

期刊介绍： As the official journal of the Urology and Nephrology Research Center (UNRC) and the Iranian Urological Association (IUA), Urology Journal is a comprehensive digest of useful information on modern urology. Emphasis is on practical information that reflects the latest diagnostic and treatment techniques. Our objectives are to provide an exceptional source of current and clinically relevant research in the discipline of urology, to reflect the scientific work and progress of our colleagues, and to present the articles in a logical, timely, and concise format that meets the diverse needs of today’s urologist. Urology Journal publishes manuscripts on urology and kidney transplantation, all of which undergo extensive peer review by recognized authorities in the field prior to their acceptance for publication. Accordingly, original articles, case reports, and letters to editor are encouraged.