[Analysis and prevention of postoperative complications of tubularized incised plate urethroplasty for hypospadia].
OBJECTIVE
To explore the reasons and preventions of complications of tubularized incised plate urethroplasty technique for hypospadia  repair.


METHODS
In the study, 54 patients of 247 hypospadia patients were analyzed who had complications, using SPSS 13.0 statistics to compare their  complications with anatomy reasons including positions of the meatus, development of urethral mucous membrane and glans penis and degrees of  ventral curvature.


RESULTS
(1) Postoperative complications were relative to the position of meatus. The closer urinary meatus was to the coronary  sulcus, the higher complication rate would be(χ(2)=26.309, P<0.01).( 2) The complication rate of normal glans penis was lower than that of the small glans  penis (χ(2)=23.709, P<0.01). (3) The well developed urethral mucous membrane had a lower complication rate(χ(2)=12.086, P<0.01). (4) When the angle of  ventral curvature was larger than 30°, a higher complication rate occurred(χ(2)=10.233, P<0.01).


CONCLUSIONS
Tubularized incised plate urethroplasty  procedure for single-stage urethroplasty is the first choice for patients with big glans penis, normal development of urethral plate and slight curvature so  as to achieve high curing rates and good shape of penis.
Department of Urology, General Hospitial of Guangzhou Military Command, Guangzhou, China. yanghuai6512@163.com
Huai
H
Yang
Jun
J
Liu
Li-chao
LC
Zhang
Hui-xu
HX
He
Wei-lie
WL
Hu
Jun
J
Lv
Xiao-ming
XM
Zhang
Shi-jian
SJ
Wu
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D006801:Humans; D007021:Hypospadias / Q000601:surgery*; D007223:Infant; D008297:Male; D010413:Penis / Q000601:surgery; D011183:Postoperative Complications / Q000209:etiology / Q000517:prevention & control*; D012189:Retrospective Studies; D014521:Urethra / Q000601:surgery*; D013521:Urologic Surgical Procedures, Male / Q000009:adverse effects / Q000379:methods*; D055815:Young Adult