Grade of hypospadias is the only factor predicting for re-intervention after primary hypospadias repair: a multivariate analysis from a cohort of 474 patients

Journal of Pediatric Urology
Anne-Françoise SpinoitPiet Hoebeke

Abstract

There is an ongoing quest on how to minimize complications in hypospadias surgery. There is however a lack of high-quality data on the following parameters that might influence the outcome of primary hypospadias repair: age at initial surgery, the type of suture material, the initial technique, and the type of hypospadias. The objective of this study was to identify independent predictors for re-intervention in primary hypospadias repair. We retrospectively analyzed our database of 474 children undergoing primary hypospadias surgery. Univariate and multivariate logistic regression was performed to identify variables associated with re-intervention. A p-value <0.05 was considered statistically significant and therefore considered as a prognostic factor for re-intervention. Distal penile hypospadias was reported in 77.2% (n = 366), midpenile in 11.4% (n = 54) and proximal in 11.4% (n = 54) of children. Initial repair was based on an incised plate technique in 39.9% (n = 189), meatal advancement in 36.0% (n = 171), an onlay flap in 17.3% (n = 82) and other or combined techniques in 5.3% (n = 25). In 114 patients (24.1%) re-intervention was required (n = 114) of which 54 re-interventions (47.4%) were performed within the first year...Continue Reading

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Citations

Jun 21, 2016·Journal of Pediatric Urology·M A FaasseE B Yerkes
Feb 7, 2020·Nature Reviews. Urology·Yvonne Y ChanArun K Sharma
Dec 24, 2018·Current Environmental Health Reports·Rajiv RaghavanFrank J Penna
Feb 19, 2020·World Journal of Urology·Anne-Françoise SpinoitGunter De Win
Sep 13, 2017·Der Urologe. Ausg. A·I Rübben, R Stein
May 18, 2018·Nature Reviews. Endocrinology·Martine CoolsUNKNOWN COST Action BM1303 working group 1
Oct 28, 2020·World Journal of Urology·Benoit TessierNicolas Kalfa

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