Comparative assessment of surgical treatment for hypospadias

• Main Authors: A. Ch. Usupbaev, R. E. Kuzebaev, B. A. Rysbaev, N. Zh. Sadyrbekov
• Format: Article
• Language: Russian
• Published: ABV-press 2016-07-01
• Series: Andrologiâ i Genitalʹnaâ Hirurgiâ
• Subjects: urethroplasty; hypospadias; screwing a continuous seam
• Online Access: https://agx.abvpress.ru/jour/article/view/185

Background. Hypospadias is one of the most common and severe malformations of the urogenital system. The incidence of complications is 50 % or more.Materials and methods. The work is based on the analysis of results of surgical treatment of 96 patients aged 6–26 years from 2004 to 2013. Inclusion criteria were the men with a stem, and of stem scrotal scrotal hypospadias. Depending on the method performed urethroplasty patients were divided into 3 groups.Results. Patients operated by the method of buccal urethroplasty with continuous screwed joint obtained satisfactory outcomes. Complications in group 1 patients occurred in 5 (16.6 %) patients. In group 2 operated by the method Duplay, complications in 9 (25.7 %) patients, in group 3 Rusakov–Landerer complications operated by the method was observed in 7 (22.5 %) patients.Conclusions. We have proposed operation buccal urethroplasty using a continuous screw joint significantly reduces postoperative complications. This method of operation can be successfully used in severe forms of hypospadias.