Abstract：Objective: To analyze the clinical value of urethroplasty with transverse cutting pedicled prepuce island flap (Duckett operation) for hypospadias with penile head. Methods: The clinical data of 129 cases of hypospadias with small penis head treated in our hospital from March 2018 to March 2021 were retrospectively analyzed. According to the therapeutic methods, they were divided into Duckett group (n=67) and Snodgrass group (n=62). The operation-related indexes, the incidence of postoperative complications, the treatment effect and family satisfaction rate of the two groups were compared. Results: Compared with snodgrass group, the operation time and blood loss in Duckett group were higher, and the difference was statistically significant (P<0.05). The incidence of postoperative urinary fistula in Duckett group was lower than that in Snodgrass group (P<0.05). The cure rate of Duckett group was higher than that of Snodgrass group 6 months after operation, and the difference was statistically significant (P<0.05). Six months after operation, the satisfaction rate of guardians in Duckett group was 86.57%, which was higher than that in Snodgrass group (67.74%, P<0.05). Conclusion: Although Duckett's operation in the treatment of hypospadias with small penis head is more complicated and the intraoperative trauma is slightly higher than that of Snodgrass's operation, the incidence of postoperative complications in children is lower, and the cure rate and satisfaction rate of guardians are higher.
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2022, Vol. 28 
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