Comparison of curative effects of modified urethral plate reconstruction rolled duct urethroplasty, Duckett operation and tubularized incised plate urethroplasty in the treatment of hypospadias in children
10.3760/cma.j.cn115455-20240108-00033
- VernacularTitle:改良尿道板重建卷管尿道成形术、Duckett术、尿道板纵切卷管尿道成形术治疗小儿尿道下裂疗效比较
- Author:
Wenxin CHEN
1
;
Xiaogang HU
;
Abudurexiti ALIMUJIANG·
;
Ning ZHANG
;
Yukui NAN
Author Information
1. 新疆维吾尔自治区第三人民医院泌尿外科，乌鲁木齐 830000
- Publication Type:Journal Article
- Keywords:
Hypospadias;
Urethroplasty;
Postoperative complications;
Child
- From:
Chinese Journal of Postgraduates of Medicine
2025;48(6):524-527
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To compare the curative effects of modified urethral plate reconstruction rolled duct urethroplasty (modified Koyanagi operation), Duckett operation and tubularized incised plate urethroplasty (TIP operation) in the treatment of hypospadias in children.Methods:The clinical data of 100 cases of children with hypospadias admitted to the Third People′s Hospital of Xinjiang Uygur Autonomous Region from January 2018 to June 2022 were analyzed retrospectively. According to different surgical schemes, they were divided into 3 groups, 30 cases performed modified Koyanagi operation were set as group A, 35 cases performed Duckett operation were set as group B, and 35 cases performed TIP operation were set as group C. The recovery time of urination function, hospital stay, overall treatment effect and postoperative complications were compared among the three groups.Results:There were no significant differences in the recovery time of micturition function, hospitalization time, intraoperative blood loss and operation time among the three groups ( P>0.05). The incidence of postoperative complications among the group A, B and C were 20.00%(6/30), 28.57%(10/35), 2.98%(1/35), and the incidence of postoperative complications in the group C was lower than that in the group A and group B ( χ2 = 4.94 and 8.74, P<0.05). Conclusions:In the treatment of hypospadias in children by Modified Koyanagi operation, Duckett operation and TIP operation have no significant difference in curative effect, but TIP operation has fewer postoperative complications.
