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요도하열 교정술: 20년 경험

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Affiliated Author(s)
장혁수김광세
Alternative Author(s)
Chang, Hyuk SooKim, Kwang Sae
Journal Title
Keimyung Medical Journal
Issued Date
2007
Keyword
Hypospadias
Abstract
The key for assessing the outcome of hypospadias repair is a long-term, continuous follow-up. We report our 20-year experience of hypospadias repairs carrying by one surgeon. From January 1986 to December 2005, 235 patients with hypospadias underwent surgical correction by one surgeon. We analyzed the changing patterns and complications of our major procedures. During the first 10 years, a total of 99 hypospadias repairs (27 for anterior
type, 72 mid or posterior type) were performed; 8 meatal advancement and glanuloplasties (MAGPI), 8 Mathieues, 5 meatal advancements, 4 pyramids, and 2 onlay island flaps (OIF) for anterior type, 31 transverse preputial island flaps (TPIF), 18 OIFs, 17 staged repairs, and 6 Thiersch-Duplays for mid or posterior type. During the latter 10 years, a total of 136 repairs (70 for anterior type, 66 for mid or posterior type) were performed; 24 meatal advancements, 22 tubularized incised plate (TIP), 15 MAGPIs, 4 pyramids, 2 OIFs, 2 Kings, and 1 Mathieu for anterior type, 32 OIFs, 18 staged repairs, 10 TIPs, and 6 TPIFs for mid or posterior type.
Complication rates were 37.8% in TPIFs, 24.1% in OIFs, 20.0% in staged repairs, and 9.4% in TIPs. In mid and posterior type with severe ventral curvature, the rates of redo operation due to
residual or recurrent curvature were 2.9% in staged repairs and 24.9% in TPIFs. Urethral plate
preserving procedure have extended its application into posterior hypospadias. TIP showed best
results in correcting essentially all anterior and many posterior hypospadias. For posterior
hypospadias with fibrotic chordee, staged repair resulted in better outcome compared to TPIFs in
our hand.
Alternative Title
Hypospadias Repair: 20-year Experience of a Surgeon
Department
Dept. of Urology (비뇨의학)
Publisher
Keimyung University School of Medicine
Citation
손지철 et al. (2007). 요도하열 교정술: 20년 경험. Keimyung Medical Journal, 26(2), 140–146.
Type
Article
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/15401
Appears in Collections:
2. Keimyung Medical Journal (계명의대 학술지) > 2007
1. School of Medicine (의과대학) > Dept. of Urology (비뇨의학)
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