ArticleInternational journal of urology : official journal of the Japanese Urological Association2022
Risk factors for postoperative complications in children with proximal hypospadias with severe chordee who underwent urethral plate transection.
Article in International journal of urology : official journal of the Japanese Urological Association, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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3 citing papers in PubMed, 8 citations in OpenAlex.
- Risk factors for postoperative urethral diverticulum following hypospadias repair with disconnection of the urethral plate.BMC pediatrics · 2025Article
- Analysis of risk factors for postoperative complications in hypospadias and construction and validation of a nomogram predictive model.PloS one · 2025Article
- Risk factors for postoperative complications following one-stage proximal hypospadias repair involving the disconnection of the urethral plate: a retrospective study.BMC pediatrics · 2023Article
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6 authors at 2 institutions in 1 country.
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Abstract
objectivesTo identify the risk factors associated with developing complications after transection of the urethral plate for proximal hypospadias with severe chordee.
methodsWe used a prospective database to identify patients with proximal hypospadias and severe chordee who underwent transection of the urethral plate and primary hypospadias repair in 2011 and 2021. All patients underwent urethroplasty with a follow-up period of >12 months. The association between variables (age, surgical technique, length of urethral defect, and surgeon volume) and postoperative complications (fistulas, urethral strictures, diverticula and glans dehiscence) was analyzed.
resultsAltogether, 493 patients were included, of whom 133 (26.9%) had postoperative complications. Univariate and multivariate analyses revealed that the preoperative proximal meatal position, one-stage repair, longer urethral defect length, and low surgeon volume were significant risk factors for postoperative complications with proximal hypospadias with severe chordee who underwent transection of the urethral plate. A urethral defect length of ≥4.55 cm was considered the best cutoff value for predicting postoperative complications.
conclusionsPreoperative proximal meatal location, one-stage repair, longer urethral defect length, and low surgeon volume were associated with postoperative complications in patients with proximal hypospadias with severe chordee who underwent transection of the urethral plate. A urethral defect length of ≥4.55 cm was significantly associated with the development of complications.
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