Prevention of postoperative complications after single-stage hypospadias repair

VernacularTitle:尿道下裂一期修复术后并发症防治
Author: Ximing CHEN ; Xianping LIAO ; Haikun WANG ; Huixu HE
Publication Type:Journal Article
Keywords: Hypospadias; Reconstructive surgical procedures; Postoperative complications
From: Chinese Journal of Postgraduates of Medicine 2011;34(14):20-21
CountryChina
Language:Chinese
Abstract: Objective To summarize experience to prevent the main postoperative complications after hypospadias repairs. Method The clinical data of 189 cases of hypospadias repairs was from May 2005 to August 2010,retrospectively analyzed. Results One hundred and seventy-four cases were surgically cured by single-stage operation. All cases had been followed up for 4-36 (18.5 ± 5.5) months, the cases who had become adults were normal penile development and erectile function. Postoperative complications occurred in 15 cases,9 cases of them were urethral fistulas,6 cases were urethral strictures,all were cured or improved after symptomatic treatments. Conclusions Some methods are necessary to raise single-stage urethroplasty success rate and decrease the incidence of fistulas and strictures, such as preoperative antibiotic prophylaxis,appropriate procedure,intraoperative suprapublic urinary diversion,the good blood supply of the flap, modified enswathement, postoperative manage and nursing.