Follow-up of patients with hypospadias treated at the Hospital Pediátrico Baca Ortiz in the last 8 years (2012-2020)
DOI:
https://doi.org/10.48193/revistamexicanadeurologa.v83i1.849Keywords:
Hypospadias, follow-up, urethrocutaneous fistula, urethral strictureAbstract
Objective: To describe the patients operated on for hypospadias at the Baca Ortiz Pediatric Hospital in the last 8 years.
Method: It is a descriptive study of 376 cases between January 2012 and January 2020. The demographic data were age, karyotype, personal history, type of hypospadias, type of surgery, and post-surgical complications. We performed descriptive statistical analysis and comparisons between types of hypospadias (SPSSv19), Chi square, cross tables, Wilcoxon.
Results: 61 patients met the inclusion criteria, 14.3% of them underwent a karyotype. The age at surgery presents a mean of 4.7 years, with no family history. In distal hypospadias, the surgical technique varied, with 7.6% of Claiven and Dindo type complications. In proximal hypospadias, which correlates with two-stage surgery (Snodgrass technique) (the type of intervention performed in our institution and which corresponds to 52.4%), there were 37.2% complications, 4.5% of these patients underwent reoperation (cripple). The average number of days of hospitalization was 7.9% and there is no statistically significant difference (p=0.6). Of the patients, 98% reported in the 6 items of the penile perception scale a score that indicates satisfaction with the appearance of the penis. 10% underwent uroflowmetry with a normal pattern of Qmax 15ml/s and a bladder echo without residue.
Conclusions: Our series shows that hypospadias, depending on its level, is a pathology that frequently causes complications, despite the technique used.
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