Glans size is an independent risk factor for urethroplasty complications after hypospadias repair

Journal of Pediatric Urology
Nicol Corbin BushWarren T Snodgrass

Abstract

We hypothesized small glans size could increase urethroplasty complications (UC) following hypospadias repair. To test this, we measured glans width at its widest point in consecutive patients with hypospadias, and following a protocol for surgical decision-making, we then assessed post-operative UC using pre-determined definitions. We now report analysis of glans size as a potential additional independent risk factor for UC after hypospadias repair. Consecutive prepubertal patients undergoing hypospadias repair (2009-2013) had maximum glans width measured using calipers (Fig. 1). There were no differences in surgical technique for urethroplasty or glansplasty in this series based on the measured size of the glans. Multivariate logistic regression analyzed UC (fistula, glans dehiscence, diverticulum, stricture and/or meatal stenosis) based on glans size while adjusting for patient age, meatus (distal or midshaft/proximal), type of repair (TIP, inlay, 2-stage), surgeon, and primary or reoperative repair. Glans size was analyzed as both a continuous and dichotomous variable, with small glans defined as <14 mm. Mean glans size was 15 mm (10-27 mm) in 490 boys (mean 1.5 years) undergoing 432 primary repairs (380d/19mid/33prox), and...Continue Reading

Associated Clinical Trials

References

Mar 23, 2011·The Journal of Urology·Warren SnodgrassNicol Bush
Jun 19, 2013·Journal of Pediatric Urology·Nicol Corbin BushWarren T Snodgrass
Aug 22, 2013·Journal of Pediatric Urology·Warren T SnodgrassNicol Corbin Bush
Jan 21, 2014·Journal of Pediatric Urology·Warren SnodgrassNicol C Bush
Jul 22, 2014·The Journal of Urology·Warren SnodgrassNicol Bush

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Citations

Oct 31, 2015·Journal of Pediatric Urology·Warren Snodgrass, Nicol Bush
Jun 21, 2016·Journal of Pediatric Urology·M A FaasseE B Yerkes
Jul 4, 2016·Journal of Pediatric Urology·Elizabeth B Yerkes, Mark A Faasse
Nov 15, 2016·The Journal of Urology·Christopher J LongDouglas A Canning
Oct 18, 2016·F1000Research·Christopher J Long, Douglas A Canning
May 28, 2020·The Journal of International Medical Research·Bin ZhangShuangsui Ruan
Feb 3, 2021·Journal of Pediatric Urology·Eiji HisamatsuKaoru Yoshino

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