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성인 요도하열의 교정 성적

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Author(s)
장혁수김광세Hyuk Soo ChangKwang Sae Kim
Keimyung Author(s)
Chang, Hyuk SooKim, Kwang Sae
Department
Dept. of Urology (비뇨의학)
Journal Title
대한비뇨기과학회지
Issued Date
2002
Volume
43
Issue
5
Abstract
Purpose: The modern era of hypospadias surgery has brought functional and cosmetic results to a high level in children. However, little data are available on the outcome of adult hypospadias repairs. The objective of this study was to evaluate the results of 46 adult patients with hypospadias repairs.
Materials and Methods: One surgeon performed forty-six consecutive adult hypospadias repairs. The mean age at the time of surgery was 22.1 years (range 13 to 59). Follow up ranged from 3 months to 7 years (mean 11.3 months). We retrospectively analyzed surgical outcomes, with respect to previous repair, surgical procedure and complications.
Results: Of 46 adult hypospadias patients, 20 had had previous repairs and 26 had had no previous repairs. Surgical procedures consisted of 7 onlay island flap, 6 pyramid, 4 transverse island flap, 2 King, 3 MAGPI, 2 Mathieu, 3 tubularized incised plate and 1 meatal advance in the group with no previous repairs. In the group that had undergone previous repairs there were 10 Thiersch-Duplay, 2 Johanson, 2 transverse island flap, 1 MAGPI, 1 King, 1 Durham-Smith, 1 Mustard, 1 meatal advance and 1 onlay island flap. Complications developed in 11 patients from the no previous repair group, including 6 fistula, 2 stricture, 4 wound infection, 2 wound dehiscence and 1 ventral curvature, and were as follows for the previous repair group; 12 fistula, 5 stricture, 3 wound infection and 4 wound dehiscence.
Conclusions: For both groups analysed, adult hypospadias repair was much less successful than childhood repair. Further studies are necessary to decrease the complications. (Korean J Urol 2002;43:418-422)
Alternative Title
Outcome of Adult Hypospadias Repair
Keimyung Author(s)(Kor)
장혁수
김광세
Publisher
School of Medicine
Citation
장혁수 et al. (2002). 성인 요도하열의 교정 성적. 대한비뇨기과학회지, 43(5), 418–422.
Type
Article
ISSN
2005-6737
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/38743
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Urology (비뇨의학)
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