Glans Diameter and Meatus Localization Are the Sole Predictors of Primary Distal Hypospadias Surgery Complications: A Multivariate Analysis of Single Surgeon Series

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dc.contributor.authorAkova, Fatih
dc.contributor.authorAydin, Emrah
dc.contributor.authorSalabas, Emre
dc.contributor.authorBilgili, Zeynep
dc.date.accessioned2024-10-29T17:59:53Z
dc.date.available2024-10-29T17:59:53Z
dc.date.issued2022
dc.departmentTekirdağ Namık Kemal Üniversitesien_US
dc.description.abstractIntroduction: Tubularized incised plate urethroplasty (TIPU) surgery is among the most successful techniques for distal hypospadias. Our objective was the investigation of complication rates and their predictors. Methods: Between 2010 and 2021, 150 patients with distal hypospadias were operated on consecutively by a single surgeon using the TIPU technique. The primary outcome was the complication rates including fistula, meatal stenosis, and glans dehiscence. Secondary outcomes were predictor factors of complications. Results: The average glans diameter was 13.9 +/- 0.10 mm and 57.0% of the patients had a glans diameter greater than 14 mm. Single-layer and double-layer urethroplasty were used in 55.3% (n = 83) and 44.7% (n = 67) of patients, respectively. Overall complication rate was 23.3% (n = 35), which included fistula (3.3%, n = 5), glans dehiscence (12.7%, n = 19), and meatal stenosis (8.6%, n = 13). Glandular meatus localization (OR = 58.8, p = 0.001) and smaller glans diameter (OR = 0.39, p = 0.001) were significant predictors in the multivariate analysis of overall complications. For fistula complications, only short operation time (OR = 0.83, p = 0.03) was found as a significant predictor. Glans width (<14 mm) was the only significant predictor of both glans dehiscence (OR = 3.4, p = 0.03) and stenosis (OR = 5.67, p = 0.013) complication. Conclusion: TIPU technique for distal hypospadias has notable success and acceptable complication rates. Dartos augmented single-layer urethral closure seems adequate for complication prevention. Preoperative assessment of the glans width and meatus site is advised to predict complication rates.en_US
dc.identifier.doi10.7759/cureus.30306
dc.identifier.issn2168-8184
dc.identifier.issue10en_US
dc.identifier.pmid36276595en_US
dc.identifier.urihttps://doi.org/10.7759/cureus.30306
dc.identifier.urihttps://hdl.handle.net/20.500.11776/14864
dc.identifier.volume14en_US
dc.identifier.wosWOS:000961005000020en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherCureus Incen_US
dc.relation.ispartofCureus Journal of Medical Scienceen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjecthypospadias surgeryen_US
dc.subjecttipuen_US
dc.subjecttubularized incised plate urethroplastyen_US
dc.subjectdistalen_US
dc.subjectpredictorsen_US
dc.subjectcomplicationsen_US
dc.subjectsurgeryen_US
dc.subjecthypospadiasen_US
dc.titleGlans Diameter and Meatus Localization Are the Sole Predictors of Primary Distal Hypospadias Surgery Complications: A Multivariate Analysis of Single Surgeon Seriesen_US
dc.typeArticleen_US

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