诊断尿道下裂修复术并发症的随访持续时间。
Duration of follow-up to diagnose hypospadias urethroplasty complications.
作者信息
Snodgrass Warren, Villanueva Carlos, Bush Nicol C
机构信息
Department of Urology, Division of Pediatric Urology, University of Texas Southwestern Medical Center, Children's Medical Center, Dallas, TX, USA.
Division of Urology, Department of Surgery, University of Nebraska Medical Center, Omaha, NE, USA.
出版信息
J Pediatr Urol. 2014 Apr;10(2):208-11. doi: 10.1016/j.jpurol.2013.11.011. Epub 2013 Dec 7.
OBJECTIVE
We report the time when hypospadias urethroplasty complications (UC) were diagnosed postoperatively.
METHODS
The time UC occurred after primary distal and proximal TIP and TIP reoperations was obtained from prospectively maintained databases in consecutive patients. UC included fistulas, glans dehiscences, meatal stenoses, neourethral strictures and diverticula.
RESULTS
Of 125 UC, 64% were diagnosed at the first postoperative visit and 81% were encountered within the first year after repair. Median time for diagnosis was 6 months (1.5-95) for fistulas, meatal stenoses/urethra strictures, and diverticulum, versus 2 months (1 week-24 months) for glans dehiscence.
CONCLUSIONS
The majority of UC are diagnosed at the first postoperative visit or within the first year following TIP hypospadias repair. Glans dehiscences are most often apparent by 2 months, whereas most fistulas and other UC are found by 6 months. After 1 year, 14 boys without UC have to be followed indefinitely to diagnose each additional complication.
目的
我们报告尿道下裂尿道成形术并发症（UC）在术后被诊断出的时间。
方法
从连续患者的前瞻性维护数据库中获取初次远端和近端管状皮瓣尿道成形术（TIP）及TIP再次手术术后UC发生的时间。UC包括瘘管、龟头裂开、尿道口狭窄、新尿道狭窄和憩室。
结果
在125例UC中，64%在术后首次随访时被诊断出，81%在修复后的第一年内被发现。瘘管、尿道口狭窄/尿道狭窄和憩室的诊断中位时间为6个月（1.5 - 95个月），而龟头裂开的诊断中位时间为2个月（1周 - 24个月）。
结论
大多数UC在术后首次随访时或TIP尿道下裂修复后的第一年内被诊断出。龟头裂开最常在2个月时明显出现，而大多数瘘管和其他UC在6个月时被发现。1年后，对于14例无UC的男孩，必须无限期随访以诊断每一例额外的并发症。
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