[Principles of preoperative and postoperative management of patients with hypospadias].
Retrospective analysis of the operated patients (during 1995-2000) with different forms of the hypospadias have been performed. It was shown that early onset postoperative complications as well as remote complications (relapse of a meatostenosis, uric fistulas, a divergence of the lips of the wounds, urethral diverticulum, concrement formation and urethral pilosis) are associated with cutaneal insufficiency of the penis, low-quality suture material, and the age of patients (older than 4-6 years). On the basis of the analysis of unsuccessful surgical interventions authors have developed a complex of activities on prevention of complications at different stages of correction of the defect. At the same time new methods of one-stage surgery using new types of suture material and carrying out of operations in the age under 3-4 years have been introduced. In 309 patients operated during 2001-2004 significant decrease in the frequency of postoperative complications has been noted.
National Center of Urology, Tbilisi, Georgia.
P
P
Giorgadze
D
D
Gudjabidze
N
N
Giorgadze
T
T
Margvelashvili
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D006801:Humans; D007021:Hypospadias / Q000601:surgery*; D008297:Male; D011182:Postoperative Care / Q000379:methods* / Q000592:standards; D011183:Postoperative Complications / Q000517:prevention & control*; D011300:Preoperative Care / Q000379:methods* / Q000592:standards; D012189:Retrospective Studies; D016896:Treatment Outcome