Application of local volume reduction of the dorsal glans groove in the repair of hypospadias with small glans: A retrospective study.

IF 1.5 3区医学 Q2 PEDIATRICS Pediatric Surgery International Pub Date : 2025-02-14 DOI:10.1007/s00383-025-05980-5

Hai Lin, Yu-Yun Wang, Shi-Bing Li, Ze-Ting Chen, Liang-Ju Su

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引用次数: 0

Abstract

Objective: To assess the efficacy of local volume reduction of the dorsal glans groove in hypospadias repair with small glans.

Methods: This retrospective comparative study included 107 children treated between January 2017 and December 2020. Patients were divided into two groups: Group 1 (2017-2018) underwent onlay island flap urethroplasty alone, while Group 2 (2019-2020) underwent the procedure with additional local volume reduction of the dorsal glans groove. Hypospadias objective scoring evaluation (HOSE) scores and postoperative complications, including glans dehiscence, meatal stenosis, and urethrocutaneous fistula, were compared.

Results: The mean follow-up was 40 months (Group 1) and 32 months (Group 2). Urethrocutaneous fistula rates were 4% (Group 1) and 2% (Group 2; P = 1). Glans dehiscence occurred in 16% (Group 1) and 4% (Group 2; P = 0.0451). Meatal stenosis rates were 16% (Group 1) and 2% (Group 2; P = 0.0184). Overall success rates were 65% (Group 1) and 92% (Group 2; P = 0.0008). HOSE scores showed no significant difference (P = 0.219).

Conclusions: Local volume reduction of the dorsal glans groove significantly reduces postoperative complications in hypospadias repair with small glans.

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来源期刊

Pediatric Surgery International 医学-外科

CiteScore

3.00

自引率

5.60%

发文量

215

审稿时长

3-6 weeks

期刊介绍： Pediatric Surgery International is a journal devoted to the publication of new and important information from the entire spectrum of pediatric surgery. The major purpose of the journal is to promote postgraduate training and further education in the surgery of infants and children. The contents will include articles in clinical and experimental surgery, as well as related fields. One section of each issue is devoted to a special topic, with invited contributions from recognized authorities. Other sections will include: -Review articles- Original articles- Technical innovations- Letters to the editor