Affiliation:
1. Shandong Provincial Hospital, Shandong University
2. Shandong Provincial Hospital Affiliated to Shandong First Medical University
Abstract
Abstract
Objective
To evaluate the efficacy of dorsal plication (DP) to correct ventral penile curvature (VPC) in hypospadias repair with urethral plate preservation.
Materials and Methods
We conducted a chart review of all patients underwent DP during primary hypospadias repair with urethral plate preservation from January 2018 to December 2021. Patients were divided into two groups according to the curvature degree after degloving, including < 30° (group 1) and 30–45° group (group 2). The recurrent VPC, common urethral complications and pediatric penile perception score (PPPS) questionnaires from parents were analyzed.
Results
A total of 66 patients were included. There were 51 patients in group 1 and 15 in group 2. The incidence of recurrent VPC (7.8% vs 13.3%, p = 0.889) and urethral complications (66.7% vs 46.7%, p = 0.160) did not differ between the two groups. We collected 33 PPPS questionnaires. There was no significant difference in dissatisfaction evaluation with penis length between the two groups (12.0% vs 25.0%, p = 0.744 > 0.05).
Conclusions
DP did not increase the incidence of recurrence VPC and urethral complications and the dissatisfaction rate of penile length in correcting 30–45° VPC after degloving in hypospadias repair. Long term follow-up and more cases are still required for the efficacy of DP.
Publisher
Research Square Platform LLC