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World Journal of Urology

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01-11-2021 | Wound Infection | Original Article

Incised urethral diversion reduces the rate of fistula after one-stage hypospadias repair: a single-center retrospective controlled study

Authors: Chenglong Wang, Ning Ma, Weixin Wang, Yori Endo, Wen Chen, Senkai Li

Published in: World Journal of Urology | Issue 11/2021

Abstract

Objective

Urethrocutaneous fistula is the most prevalent complication after hypospadias repair. The aim of this study was to evaluate whether incised urethral diversion was superior to traditional transurethral diversion in minimizing complications.

Patients and methods

We retrospectively collected and analyzed 113 cases with proximal penile or penoscrotal hypospadias that were repaired by one-stage transverse preputial island flap urethroplasty between January 2016 and January 2020. Of those cases, 60 used incised urethral diversion (group A), whereas the remaining 53 were managed by transurethral diversion (group B) for urinary drainage after surgery. Postoperative complications in both groups were assessed for fistula, urethral diverticulum, meatal stenosis, wound infection, and distal urethral breakdown.

Results

Fistula was reported in 2 patients (3.3%) in group A, while it was observed in 15 patients (28.3%) in group B (p < 0.001). Wound infection occurred in one patient (1.7%) in group A, compared with six patients (11.3%) in group B (p < 0.05). The incidence rates of distal urethral breakdown were 1.7% (1/60) and 11.3% (6/53) for group A and group B, respectively (p < 0.05). One patient (1.7%) in group A and three patients (5.7%) in group B had a meatal stenosis (p > 0.05). There were two patients who developed urethral diverticulum in either group (p > 0.05).

Conclusions

The use of incised urethral diversion for urinary drainage had an advantage over transurethral diversion in one-stage hypospadias repair with respect to the post-operational fistula occurrence, wound infection, and distal urethral breakdown.

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Title: Incised urethral diversion reduces the rate of fistula after one-stage hypospadias repair: a single-center retrospective controlled study
Authors: Chenglong Wang
Ning Ma
Weixin Wang
Yori Endo
Wen Chen
Senkai Li
Publication date: 01-11-2021
Publisher: Springer Berlin Heidelberg
Keywords: Wound Infection
Hypospadia
Published in: World Journal of Urology / Issue 11/2021
Print ISSN: 0724-4983
Electronic ISSN: 1433-8726
DOI: https://doi.org/10.1007/s00345-021-03732-3

2024 ASCO Annual Meeting

Springer Medicine

Incised urethral diversion reduces the rate of fistula after one-stage hypospadias repair: a single-center retrospective controlled study

Abstract

Objective

Patients and methods

Results

Conclusions

2024 ASCO Annual Meeting

Springer Medicine

Abstract

Objective

Patients and methods

Results

Conclusions

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