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《Journal of Applied Clinical Pediatrics》 2012-20
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Comparison on Effect of Two-Stage and One-Stage Operation on Severe Hypospadias

CHEN Jia-bo,YANG Ti-quan,WANG Shuang-quan (Department of Pediatric Surgery,the First Affiliated Hospital of Guangxi Medical University,Nanning 530021,Guangxi Zhuang Autonomous Region,China)  
Objective To summarize the clinical experiences about severe hypospadias by analyzing the clinical characteristics and the-rapeutic effectiveness of two-stage and one-stage operation. Methods Retrospective analysis on 92 cases of severe hypospadias from Sep.2005 to Jul.2011 was performed.All patients were first operation cases,from 8 months to 23 years old,the median age was 4 years old and 8 months.There were 32 cases of two-stage operation(Snodgrass precedure),60 cases of one-stage operation(Duckett+Duplay procedure).Some projects had been compared on different procedure,such as the translocation of scrotum,the position of urinary meatus pre or post-straight,the lengths of urethral defects,the complication rate and the successful rate. Results The difference of the translocation of scrotum in the 2 groups was not statistically significant(P=0.303 9).The successful rate in the 2 groups had no statistically significant difference(P=0.796 1).The rate of scrotal post-straight in two-stage group was higher than that in one-stage group(P=0.022 8).The length of urethral defect of two-stage group was longer than that in one-stage group(P=0.000 1).The rate of urethra stenosis in one-stage group was longer than that in two-stage group(P=0.044 1). Conclusions Which operation procedure should be chosen to treat severe hypospadias,the capital principle was that the position of urinary meatus post-straight.If the lengths of urethral defects were longer than that of Duckett flap and Duplay flap,two-stage procedure should be chosen.In spite of the successful rate in the 2 groups had no difference,but the fault of operation chosen should lead to higher incidence rate of urinary fistula or urethra stenosis.
【Fund】: 广西壮族自治区卫生厅计划课题资助(桂卫Z2011330)
【CateGory Index】: R699
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【Citations】
Chinese Journal Full-text Database 2 Hits
1 Jiang Xianzhen,Jiang Zhiqiang,Long Zhi,Wan Bo Department of Urology,the Third Xiangya Hospital of Central South University,Changsha 410013,China;Duplay combining with Duckett operation for severe hypospadias one-stage repair[J];Chinese Journal of Andrology;2009-08
2 HUANG Yan,ZHANG Shu-feng,LI Pei-qiang;Snodgrass Urethroplasty for Hypospadia in Children[J];Journal of Applied Clinical Pediatrics;2011-15
【Co-citations】
Chinese Journal Full-text Database 4 Hits
1 HAO Jianwei DU Guanghui FAN Zhiqiang XU Yajing LIU Zhonghua(Department of Urology,Henan Provincial People's Hospital,Zhengzhou,450003,China);Y shape scrotal skin flap urethroplasty repair for severe hypospadias in children(Report of 12 cases)[J];Journal of Clinical Urology;2012-03
2 QIAN Chong,LIU Cheng-bei,WANG Wen-min ( Department of Urological Surgery,the First People's Hospital of Yulin,YulinGuangxi 537000,China);Onlay preputial island flap urethroplasty in treatment of hypospadias: a report of 52 cases[J];Journal of Regional Anatomy and Operative Surgery;2013-04
3 XIONG Lin1,ZHANG Xiao-ming2,HU Wei-lie2,HE Hui-xu2,ZHAO Yong-bin2(1.Department of Urology,the 187th Hospital of the People′s Liberation Army,Haikou 571159,Hainan Province,China;2.Department of Uro-logy,General Hospital of Guangzhou Military Command of the People′s Liberation Army,Guangzhou 510010,Guangdong Province,China);Application of Snodgrass Urethroplasty for Failure Hypospadias Repairment[J];Journal of Applied Clinical Pediatrics;2012-11
4 LUO Yi-ge,YANG Ti-quan,DONG Chun-qiang,LIU Qiang,CHEN Chao,WEI Ting(Department of Pediatric Surgery,the First Affiliated Hospital of Guangxi Medical University,Nanning 530021,Guangxi Zhuang Autonomous Region,China);Application of Fascial Flap Covering Technique in Hypospadias Repair[J];Journal of Applied Clinical Pediatrics;2012-23
【Secondary Citations】
Chinese Journal Full-text Database 8 Hits
1 JIANG Xian xhen, ZEN Qin, ZHONG Kang biao (Department of Urology,The Third Xiangya Hospital, Central South University, Changsha 410013, China);Treatment of complicated hypospadias in children[J];Bulletin of Hunan Medical University;2001-06
2 MA Li-min,JIANG Hua,ZHOU Juan,DA Jun,CAI Zhi-kang,WANG Zhong Department of Urology,The Ninth People's Hospital,Shanghai Jiaotong University School of Medicine,Shanghai 200011,China;Snodgrass Technique,Duckett Repair and Bladder Mucosa Grafting for Hypospadias:An Analysis of 251 Cases[J];National Journal of Andrology;2009-12
3 Ye Fei, Dong Guoqin, Jiang Yueqing, Ying Jun, Wang Zhong Department of Urology, Shanghai Ninth Peoples' Hospital, Shanghai Jiaotong University Medical College, Shanghai, 200011, China;Ten years experience with bladder mucosa grafts in hypospadias repair and its complications[J];Chinese Journal of Andrology;2008-02
4 CAI Zhikang, YAO Dehong, DONG Guoqin, et al. Department of Urology, Shanghai Ninth People's Hospital, Shanghai Second Medical University, Shanghai 200011, Shanghai;Urethroplasty using half-ring shaped bladder mucosa in treating hypospadias[J];Shanghai Medical Journal;2005-05
5 CHEN Jia-bo,YANG Ti-quan(Department of Pediatric Surgery,the First Affiliated Hospital of Guangxi Medical University,Nanning 530021,Guangxi Zhuang Autonomous Region,China);Application of Pedicle Prepuce Island Skin Flap in Reoperation of Hypospadias[J];Journal of Applied Clinical Pediatrics;2011-01
6 JIANG Xian-zhen,HE Le-ye,JIANG Zhi- qiang,et al.Department of Urology,The Third Xiang-Ya Hospital of Central South University,Changsha 410013,China;One-stage repair for 205 cases of boy hypospadias with different procedures[J];Chinese Journal of Urology;2005-02
7 Jiang Xianzhen, He Leye, Deng Suxiong. Department of Urology, the Third Affiliated Hospital,Hunan Medical University, Changsha 410013;One stage reconstruction for hypospadias in children[J];CHINESE JOURNAL OF UROLOGY;1998-06
8 ZHANG Wei-ping SUN Ning HUANG Cheng-ru BAI Ji-Wu TIAN Jun XIE Xiang-kui SONG Hong-cheng Department of Urology,Beijing Children's Hospital Affiliated to Capital University of Medical Science,Beijing 100045,China;Snodgrass urethroplasty for the anterior hypospadias[J];Chinese Journal of Pediatric Surgery;2006-10
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