Stojanovic Borko, Bizic Marta, Majstorovic Marko, Kojovic Vladimir, Djordjevic Miroslav
Department of Urology, University Children's Hospital, University of Belgrade, Tirsova Street, 11000 Belgrade, Serbia.
Adv Urol. 2011;2011:813205. doi: 10.1155/2011/813205. Epub 2011 Oct 9.
The aim was to retrospectively determine the real incidence of congenital penile curvature in various forms of hypospadias, in order to indicate intraoperative assessment and correction of curvature. We analyzed 842 patients with hypospadias who underwent surgery from 2003 to 2010, classified into two groups. First group was intraoperatively checked for curvature as a routine procedure, while a curvature in the second group was assessed mostly in severe hypospadias. Results are analyzed using Fisher's and chi-square tests. In total, 238 cases (28.3%) of associated curvature were confirmed. Curvature was significantly more frequent in the first group, regarding hypospadias in general (P < 0.01), as well as distal (P < 0.05) and midshaft forms (P < 0.01). Penile curvature is common figure in hypospadias, including distal types. Intraoperative testing for associated curvature should be considered as a routine procedure in hypospadias repair.
目的是回顾性确定各种类型尿道下裂中先天性阴茎弯曲的实际发生率，以便指导术中对弯曲的评估和矫正。我们分析了2003年至2010年接受手术的842例尿道下裂患者，分为两组。第一组在术中作为常规程序检查弯曲情况，而第二组主要在重度尿道下裂中评估弯曲情况。使用Fisher检验和卡方检验分析结果。总共确诊了238例（28.3%）合并弯曲病例。总体而言，就尿道下裂而言，第一组的弯曲发生率显著更高（P < 0.01），远端型（P < 0.05）和阴茎中段型（P < 0.01）也是如此。阴茎弯曲在尿道下裂中很常见，包括远端型。术中检测合并弯曲应被视为尿道下裂修复的常规程序。
