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:: Volume 25, Issue 1 (Bimonthly 2021) ::
Feyz 2021, 25(1): 777-783 Back to browse issues page
Assessment of incidence and risk factors for development of postoperative complications of hypospadias surgery at Aliasghar hospital in 2017
Seiied Javad Nasiri , Morteza Mazoochi * , Akramsadat Razavizadeh
Department of General Surgery, Faculty of Medicine, Iran University of Medical Sciences, Tehran, I.R. Iran. , mortezamazoochi@gmail.com
Abstract:   (348 Views)
Background: Due to the relatively high complications of hypospadias surgery, this survey aimed to resolve the incidence and risk factors for hypospadias surgery complications in children undergoing surgery at Aliasghar hospital in Tehran in 2017.
Materials and Methods: This descriptive-analytical study was performed on 90 children over six months who underwent surgical treatment of hypospadias. Information on risk factors was collected by a researcher-made questionnaire at the time of admission and at the time of discharge. Also, surgical complications were evaluated two weeks after surgery and up to one year after that and entered in a questionnaire. Findings were analyzed using t-test and chi-square test or Fisher Exact test.
Results: The only surgical complication was urethrocutaneous fistula, which was seen in 18.9% of patients. Risk factors associated with complications of hypospadias surgery include low birth weight, preoperative testosterone injection, presence of penoscrotal or scrotal hypospadias, Ducket`s surgical technique and Prolonged retention of the urinary catheter, but the age of the child at the time of surgery, gestational age, and family history of hypospadias  were not associated with surgical complications.
Conclusion: It is recommended to be more careful in terms of surgical technique, especially in children with low birth weight and penoscrotal or scrotal hypospadias, and if possible, avoid testosterone before surgery and Ducket`s technique for surgery.
Keywords: Hypospadias, Postoperative complications, Risk factors, Fistula
Full-Text [PDF 1108 kb]   (65 Downloads)    
Type of Study: Applicable | Subject: medicine, paraclinic
Received: 2021/01/1 | Accepted: 2021/02/2 | Published: 2021/04/6
1. Chalmers D, Wiedel CA, Siparsky GL, Campbell JB, Wilcox DT. Discovery of Hypospadias during Newborn Circumcision Should Not Preclude Completion of the Procedure. J Pediatr 2014; 164(5): 1171-4.e1.
2. Abdalla AEH. Prevalence of Hypospadias and the Etiological Factors in Sudan 2014: The National Rbat University; 2014.
3. Baskin LS,Hypospadias. In: Coran AG. Pediatric surgery. 7th ed. USA: Elsevier; 2012. p. 1531-53.
4. Murphy J.P.Carrasco A, Hypospadias. In: Holcomb G. Murphy P. Peter S.Holcomb and Ashcraftʼs pediatric surgery. 7th ed. China: Elsevier; 2020. p. 918.
5. Renaux-Petel M, Mure PY, Gorduza DB, Mouriquand P. Hypospadias. Pediatric Surgery: Springer; 2019. p. 549-60.
6. Jiao C, Wu R, Xu X, Yu Q. Long-term outcome of penile appearance and sexual function after hypospadias repairs: situation and relation. Int urol Nephrol 2011; 43(1): 47-54.
7. Chertin B, Natsheh A, Ben-Zion I, Prat D, Kocherov S, Farkas A, et al. Objective and subjective sexual outcomes in adult patients after hypospadias repair performed in childhood. J Urol 2013; 190(4S): 1556-60.
8. Prasad MM, Marks A, Vasquez E, Yerkes EB, Cheng EY. Published surgical success rates in pediatric urology—fact or fiction? J Urol 2012; 188(4): 1643-8.
9. Long C. Hypospadias as a Chronic Illness. J Urol 2018; 200(6): 1172-3.
10. Wilkinson DJ, Green PA, Beglinger S, Myers J, Hudson R, Edgar D, et al. Hypospadias surgery in England: higher volume centres have lower complication rates. J Pediatr Urol 2017; 13(5): 481. e1-. e6.
11. Arab D, Sabet B, Ardestani A, Hossenzadeh B, Soltani S, Hemati H. Outcomes of hypospadias repair during childhood. Koomesh 2013; 14(3): 280-4.
12. İmamoğlu MA, Bakırtaş H. Comparison of two methods--Mathieu and Snodgrass--in hypospadias repair. Urol Int 2003; 71(03): 251-4.
13. Wilkinson DJ, Farrelly P, Kenny SE. Outcomes in distal hypospadias: a systematic review of the Mathieu and tubularized incised plate repairs. J Pediatr Urol 2012; 8(3): 307-12.
14. Dokter EM, Mouës CM, van Rooij IA, van der Biezen JJ. Complications after hypospadias correction: prognostic factors and impact on final clinical outcome. Eur J Pediatr Surg 2018; 28(2): 200-6.
15. Garnier S, Maillet O, Cereda B, Ollivier M, Jeandel C, Broussous S, et al. Late surgical correction of hypospadias increases the risk of complications: a series of 501 consecutive patients. BJU Int 2017; 119(6): 942-7.
16. Schneuer FJ, Holland AJ, Pereira G, Bower C, Nassar N. Prevalence, repairs and complications of hypospadias: an Australian population-based study. Arch Dis Child 2015; 100(11): 1038-43.
17. Section on Urology. Timing of elective surgery on the genitalia of male children with particular reference to the risks, benefits, and psychological effects of surgery and anesthesia. Pediatrics 1996; 97(4): 590-4.
18. Eassa W, Jednak R, Capolicchio JP, Brzezinski A, El-Sherbiny M. Risk Factors for Re-operation Following Tubularized Incised Plate Urethroplasty: A Comprehensive Analysis. Urology 2011; 77(3): 716-20.
19. Yildiz T, Tahtali IN, Ates DC, Keles I, Ilce Z. Age of patient is a risk factor for urethrocutaneous fistula in hypospadias surgery. J Pediatr Urol 2013; 9(6): 900-3.
20. Lee OT, Durbin-Johnson B, Kurzrock EA. Predictors of secondary surgery after hypospadias repair: a population based analysis of 5,000 patients. J Urol 2013; 190(1): 251-5.
21. Sarhan OM, El-Hefnawy AS, Hafez AT, Elsherbiny MT, Dawaba ME, Ghali AM. Factors affecting outcome of tubularized incised plate (TIP) urethroplasty: single-center experience with 500 cases. J Pediatr Urol 2009; 5(5): 378-82.
22. Bush NC, Holzer M, Zhang S, Snodgrass W. Age does not impact risk for urethroplasty complications after tubularized incised plate repair of hypospadias in prepubertal boys. J Pediatr Urol 2013; 9(3): 252-6.
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Nasiri S J, Mazoochi M, Razavizadeh A. Assessment of incidence and risk factors for development of postoperative complications of hypospadias surgery at Aliasghar hospital in 2017. Feyz. 2021; 25 (1) :777-783
URL: http://feyz.kaums.ac.ir/article-1-4303-en.html

Volume 25, Issue 1 (Bimonthly 2021) Back to browse issues page
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