Preoperative Illnesses in Children Do Not Increase the Risk of Complications After Hypospadias Repair

Dokter, E.M.J.; Slikboer, Karen M A; Zanden, Loes F M van der; Rahamat‐Langendoen, Janette; Henriet, Stefanie; Feitz, W.F.J.; Kortmann, Barbara; Roeleveld, Nel; Rooij, Iris A. L. M. van

doi:10.1097/inf.0000000000002064

Cited by 1 publication

(1 citation statement)

References 26 publications

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“…Fortunately, in our study, BMI at stulectomy, history of low birth weight and prematurity did not increase the risk of UCF recurrence. Similar to ndings by Dokter, who reported that common preoperative illness not severe enough to postpone surgery appeared to have a protective effect after hypospadias repair [11], suggesting that the success rate of UCF repair might be more dependent on the condition of the penis itself.…”

Section: Discussionsupporting

confidence: 83%

Predictors of Treatment Failure in Urethrocutaneous Fistula Repair for Hypospadias: A Retrospective Analysis

Zhang,

Sun,

Zhang

et al. 2024

Preprint

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Purpose This study aimed to identify risk factors associated with the recurrence of urethrocutaneous fistula (UCF) following repair in patients with hypospadias, beyond the intrinsic characteristics of the fistula itself. Methods Clinical data of patients who underwent UCF repair were retrospectively reviewed. Potential risk factors included age and body mass index at UCF repair, history of low birth weight and prematurity, urethral defect length, operative approaches and urethral covering during hypospadias repair (HR), interval between urethroplasty and UCF presentation, interval between urethroplasty and UCF repair, meatal stenosis, size, number and location of UCFs. Univariate and multivariate analysis were used to identify the risk factors of UCF recurrence. Results A total of 136 patients underwent UCF repair from 2013 to 2022, and UCF recurred in 31 patients (22.8%) after a median follow-up of 36.2 months. Results of multivariate analysis showed that the UCF with a diameter exceed 4mm (OR6.968, 95% CI 1.522–31.898, P=0.012), multiple UCFs (OR 4.017, 95% CI 1.284–12.571, P=0.017), coronal UCF (OR 2.964, 95% CI 1.142–7.695, P=0.026) and urethral covering with non-Buck’s fascia (OR 2.631, 95% CI 1.015–6.819, P=0.047) were statistically significant, correlating with the risk of UCF recurrence. Conclusion UCF repair was more prone to failure if the size of UCF exceeds 4 mm, if it is located at the coronary sulcus, if multiple UCFs are present. Employing Buck’s fascia during HR would reduce the incidence of UCF recurrence.

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Section: Discussionsupporting

confidence: 83%

Predictors of Treatment Failure in Urethrocutaneous Fistula Repair for Hypospadias: A Retrospective Analysis

Zhang,

Sun,

Zhang

et al. 2024

Preprint

View full text Add to dashboard Cite

show abstract

Preoperative Illnesses in Children Do Not Increase the Risk of Complications After Hypospadias Repair

Abstract: Common preoperative illnesses not severe enough to postpone surgery did not increase the postoperative complication risk and even seemed to have a protective effect, especially for postoperative infections. Consequently there is no reason to alter preoperative screening.

Cited by 1 publication

References 26 publications

Predictors of Treatment Failure in Urethrocutaneous Fistula Repair for Hypospadias: A Retrospective Analysis

Predictors of Treatment Failure in Urethrocutaneous Fistula Repair for Hypospadias: A Retrospective Analysis

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