| High odds for freedom from early complications after tubularized incised-plate urethroplasty in 1-year-old versus 5-year-old boys. | |
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MedLine Citation:
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PMID: 18753012 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: We present two parallel case series on outcome after tubularized incised-plate urethroplasty (TIP repair) for hypospadias in 1-year-old versus 5-year-old boys. PATIENTS AND METHODS: Over a 2-year period two groups (1 year old, n=57 and 5 years old, n=65) of boys were operated in parallel using the TIP repair. Main endpoints were set as incidence of fistula, meatal stenosis and foreskin dehiscence/phimosis. A logistic regression model was used to predict the odds for freedom from either 'any complication' or fistula in 1-year-old boys versus 5-year-old boys. RESULTS: Five-year-old boys had a significantly higher incidence of fistula (26% vs. 7%, P<0.01) and 'any complication' (50% vs. 18%, P<0.001) than the 1-year-old boys. The odds ratio for freedom from 'any complication' and fistula was 4.8:1 (P<0.001) and 4.7:1 (P=0.009), respectively, in favor of the 1-year-old group. Avoiding foreskin reconstruction gave increased odds for freedom of "any complication" (4.2:1, P=0.034), but was an insignificant factor concerning freedom from fistula. CONCLUSION: These data substantiate why boys with hypospadias should be corrected early. Foreskin reconstruction increases postoperative problems but does not increase the rate of postoperative fistulae. |
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Authors:
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Christian Korvald; Kjetil Stubberud |
Publication Detail:
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Type: Comparative Study; Journal Article Date: 2008-08-26 |
Journal Detail:
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Title: Journal of pediatric urology Volume: 4 ISSN: 1873-4898 ISO Abbreviation: - Publication Date: 2008 Dec |
Date Detail:
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Created Date: 2008-11-17 Completed Date: 2009-03-11 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101233150 Medline TA: J Pediatr Urol Country: England |
Other Details:
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Languages: eng Pagination: 452-6 Citation Subset: IM |
Affiliation:
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Department of Plastic and Reconstructive Surgery, Rikshospitalet University Hospital, Sognsvannsveien 20, N-0027 Oslo, Norway. christian.korvald@rikshospitalet.no |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Age Distribution Child, Preschool Foreskin / surgery Humans Hypospadias / surgery* Incidence Infant Male Postoperative Complications / epidemiology*, prevention & control Reconstructive Surgical Procedures Risk Factors Urethra / surgery* Urinary Fistula / epidemiology, prevention & control Urologic Surgical Procedures, Male* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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