He Meng, Fan Songqiao, Sun Ning, Tian Jun, Li Minglei, Song Hongcheng, Zhang Weiping
Department of Urology, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Nan Li Shi Lu Street No.56, Beijing, 100045, China.
BMC Urol. 2025 Jan 25;25(1):16. doi: 10.1186/s12894-025-01700-2.
To analyze the clinical characteristics, complications and patients satisfaction of MIP hypospadias variant.
A retrospective analysis was performed for 31 patients with MIP admitted to our hospital from January 2008 to February 2023. All enrolled patients underwent telephone follow-up and a survey was conducted on the satisfaction of patients and their families. Outcome analysis was focused on clinical data includes age, position of the meatus, penile curvature, type of repair, complications and satisfaction survey results. Statistical analyses were performed using R software.
The average age of 31 MIP patients was 92.1 ± 40.7 months, and the median follow-up time was 49.0 [21.0-82.2] months. Twenty one patients (67.7%, 21/31) had ventral curvature and no dorsal curvature was observed. All cases were divided into chordee group and no chordee group. There was a statistical difference in age (80.4 ± 41.6 Vs 117.0 ± 26.0 months) and weight (22.7 [15.8-35.0] Vs 45.0 [32.0-46.0] kg) between the two groups. Six children (19.4%, 6/31) experienced post-operative complications; however, none required reoperation. The only risk factors for complications were the meatus position and whether urethroplasty was performed.Only the occurrence of complications may affect patients satisfaction.
MIP hypospadias variants can exhibit severe ventral curvature. Surgery can achieve good results with a low incidence of complications. A satisfactory skin appearance and adequate curvature correction are key concerns for both patients and parents.
分析阴茎阴囊型尿道下裂变异型的临床特征、并发症及患者满意度。
对2008年1月至2023年2月我院收治的31例阴茎阴囊型尿道下裂患者进行回顾性分析。所有纳入患者均接受电话随访，并对患者及其家属的满意度进行调查。结果分析聚焦于临床数据，包括年龄、尿道口位置、阴茎弯曲度、修复类型、并发症及满意度调查结果。使用R软件进行统计分析。
31例阴茎阴囊型尿道下裂患者的平均年龄为92.1±40.7个月，中位随访时间为49.0[21.0 - 82.2]个月。21例患者（67.7%，21/31）有腹侧弯曲，未观察到背侧弯曲。所有病例分为阴茎弯曲组和无阴茎弯曲组。两组在年龄（80.4±41.6岁 vs 117.0±26.0个月）和体重（22.7[15.8 - 35.0]kg vs 45.0[32.0 - 46.0]kg）方面存在统计学差异。6例儿童（19.4%，6/31）出现术后并发症；然而，无一例需要再次手术。并发症的唯一危险因素是尿道口位置和是否进行尿道成形术。只有并发症的发生可能影响患者满意度。
阴茎阴囊型尿道下裂变异型可表现出严重的腹侧弯曲。手术可取得良好效果，并发症发生率低。满意的外观和足够的弯曲度矫正对患者及其家长来说都是关键问题。
