Liu Guochang, Yuan Jiyan, Feng Jiexiong, Geng Jinmei, Zhang Wen, Zhou Xuefeng, Wang Tao
Department of Pediatric Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China.
J Pediatr Surg. 2006 Mar;41(3):554-9. doi: 10.1016/j.jpedsurg.2005.11.051.
The aim of this study was to explore the relationships between the short- and long-term results of hypospadias repair and identify the factors that could affect the long-term results of hypospadias repair.
Between 1982 and 1988, 142 patients were operated for hypospadias and completed their treatment at Tongji Hospital (Wuhan, China). Their records were analyzed retrospectively, and a detailed questionnaire was mailed to them.
One hundred two patients returned the questionnaire. Patients in the proximal hypospadias group, those using Denis-Browne technique, and those with early complications were markedly dissatisfied with the overall results of hypospadias repair and penile appearance. Moreover, their dissatisfaction grew with the number of operations they had. Thirty-nine (95.1%) of 41 patients using the Denis-Browne technique had voiding problems. Forty-nine (48%) of 102 patients felt inhibited in seeking girlfriends or sexual contacts. Moreover, there was a positive correlation between the level of sexual inhibition and operation times. A highly positive correlation was found between the age at the time hypospadias surgery was completed and the extent of being sexually inhibited. The patients in proximal hypospadias group had more erection and ejaculation problems.
The short-term results of hypospadias repair could affect the long-term results significantly, and good short-term results also predict long-term ones. The types of hypospadias, procedures, and complications have significant influences on predicting the long-term results of hypospadias repairs.
本研究旨在探讨尿道下裂修复术的短期和长期结果之间的关系，并确定可能影响尿道下裂修复术长期结果的因素。
1982年至1988年间，142例尿道下裂患者在同济医院（中国武汉）接受手术并完成治疗。对他们的记录进行回顾性分析，并向他们邮寄了一份详细的问卷。
102例患者回复了问卷。近端尿道下裂组的患者、采用Denis-Browne技术的患者以及有早期并发症的患者对尿道下裂修复术的总体结果和阴茎外观明显不满意。此外，他们的不满随着手术次数的增加而增加。采用Denis-Browne技术的41例患者中有39例（95.1%）存在排尿问题。102例患者中有49例（48%）在寻找女友或性接触方面感到有障碍。此外，性障碍程度与手术次数之间存在正相关。尿道下裂手术完成时的年龄与性障碍程度之间存在高度正相关。近端尿道下裂组的患者有更多的勃起和射精问题。
尿道下裂修复术的短期结果可显著影响长期结果，良好的短期结果也可预测长期结果。尿道下裂的类型、手术方法和并发症对预测尿道下裂修复术的长期结果有显著影响。
