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| Analysis on the Incidence Rate and Influencing Factors of Postoperative Complications in Children with Hypospadias |
| HU Wen |
| Children's Hospital Affiliated to Nanjing Medical University, Jiangsu Nanjing 210000, China |
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Abstract Objective: To observe the incidence rate of postoperative complications in children with hypospadias, and analyze the influence factors. Methods: 300 children with hypospadias in the hospital were selected. All of them were treated with one-stage urethroplasty. The occurrence of postoperative complications was observed. The risk factors were analyzed by Logistic regression analysis. Results: Of the 300 children, there were 48 cases with urinary fistula, 5 cases with infection, 4 cases with flap necrosis and 5 cases with urethral stricture. The total incidence rate of complications was 20.67% (62/300). The incidence of postoperative complications in children with age not less than 2 years old, type III and type IV hypospadias, preoperative penile curvature, Koyanagi operation and Snodgrass operation was significantly higher than that with age less than 2 years, type I and type II, no preoperative penile curvature, Magpi operation, Onlay operation, Mathieu operation and Duckett operation (P<0.05). Logistic regression analysis showed that age not less than 2 years old, type III and type IV hypospadias, preoperative penile curvature, Koyanagi operation and Snodgrass operation were independent risk factors for postoperative complications in hypospadias children (P<0.05). Conclusion: The incidence of postoperative complications in hypospadias children is relatively higher, mainly on urinary fistula. Age, hypospadias type, preoperative penile curvature and surgical methods are all influencing factors of postoperative complications. Clinically, corresponding preventive measures can be taken against these factors.
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2020, Vol. 26 
