Verma Ajay, Anand Sachit, Sharma Shilpa, Sethi Prateek, Agarwal Priyanjali
Department of Pediatric Surgery, All India Institute of Medical Sciences, New Delhi, India.
J Indian Assoc Pediatr Surg. 2025 Jul-Aug;30(4):438-445. doi: 10.4103/jiaps.jiaps_20_25. Epub 2025 Apr 14.
Urethral hair is a rare but significant issue in cases of severe hypospadias, typically after using hair-bearing skin grafts. This can cause early and late complications, including urinary obstruction, infections, and stone formation. Prevention is the key, favoring nonhair-bearing grafts. If hair-bearing skin is used, hair removal techniques are employed. Managing complications may require surgical interventions such as endoscopic hair removal or repeat urethroplasty. Without available literature, this systematic review, elaborating and comparing various management techniques for urethral hair, attempts to generate evidence for managing such pertinent clinical scenario.
PubMed, SCOPUS, Embase, and Web of Science databases were explored, and relevant studies were selected. Data were extracted to study the bibliographic information of each article, the number of patients in each article, the age of patients, primary diagnosis, the method used to manage the urethral hair, the number of times the procedure was repeated for satisfactory results, and total follow-up duration before reporting the results.
A systematic review identified 80 articles, 16 eligible for full-text review, including 14 case reports and two original articles, covering 41 male patients treated from 1977 to 2023, with substantial agreement on study quality assessment among the observers. Most cases ( = 37/41) involved hypospadias follow-ups, with laser-based hair removal being the primary treatment ( = 32/41 patients). Various lasers, such as neodymium-doped yttrium aluminum garnet and carbon dioxide, were used, and a median of one procedure was needed.
Managing urethral hair posthypospadias repair requires laser treatments and continuous follow-up to prevent complications and ensure success.
尿道毛发是重度尿道下裂病例中一个罕见但重要的问题，通常发生在使用含毛发皮肤移植后。这可能导致早期和晚期并发症，包括尿路梗阻、感染和结石形成。预防是关键，应优先选择不含毛发的移植物。如果使用了含毛发的皮肤，则需采用脱毛技术。处理并发症可能需要手术干预，如内镜下脱毛或再次尿道成形术。由于缺乏相关文献，本系统综述详细阐述并比较了尿道毛发的各种处理技术，试图为处理此类相关临床情况提供证据。
检索了PubMed、SCOPUS、Embase和Web of Science数据库，并选择了相关研究。提取数据以研究每篇文章的书目信息、每篇文章中的患者数量、患者年龄、初步诊断、处理尿道毛发的方法、为获得满意结果而重复手术的次数以及报告结果前的总随访时间。
一项系统综述确定了80篇文章，16篇符合全文综述要求，包括14篇病例报告和2篇原创文章，涵盖了1977年至2023年治疗的41例男性患者，观察者之间在研究质量评估方面基本达成一致。大多数病例（41例中的37例）涉及尿道下裂随访，基于激光的脱毛是主要治疗方法（41例患者中的32例）。使用了各种激光，如掺钕钇铝石榴石激光和二氧化碳激光，平均需要进行一次手术。
尿道下裂修复术后处理尿道毛发需要进行激光治疗并持续随访，以预防并发症并确保成功。
