期刊文献+

尿道下裂修补术后长期预后的影响因素

Factors affecting the long-term results of hypospadias repairs
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摘要 Purpose:The aim of this study was to explore the relationships between the sh ort-and long-term results of hypospadias repair and identify the factors that could affect the long-term results of hypospadias repair.Materials and Methods :Between 1982 and 1988,142 patients were operated for hypospadias and complete d their treatment at Tongji Hospital(Wuhan,China)-.Their records were analyz ed retrospectively,and a detailed questionnaire was mailed to them.Results:On e hundred two patients returned the questionnaire.Patients in the proximal hypo spadias group,those using Denis-Browne technique,and those with early complic ations were markedly dissatisfied with the overall results of hypospadias repair and penile appearance.Moreover,their dissatisfaction grew with the number of operations they had.Thirty-nine(95.1%)of 41 patients using the Denis-Brown e technique had voiding problems.Forty-nine(48%)of 102 patients felt inhibi ted in seeking girlfriends or sexual contacts.Moreover,there was a positive co rrelation between the level of sexual inhibition and operation times.A highly p ositive correlation was found between the age at the time hypospadias surgery wa s completed and the extent of being sexually inhibited.The patients in proximal hypospadias group had more erection and ejaculation problems.Conclusions:The short-term results of hypospadias repair could affect the long-term results si gnificantly,and good short-term results also predict long-term ones.The type s of hypospadias,procedures,and complications have significant influences on p redicting the long-term results of hypospadias repairs. Purpose: The aim of this study was to explore the relationships between the shortand long-term results of hypospadias repair and identify the factors that could affect the long-term results of hypospadias repair. Materials and Methods: Between 1982 and 1988, 142 patients were operated for hypospadias and completed their treatment at Tongji Hospital (Wuhan, China) - . Their records were analyzed retrospectively, and a detailed questionnaire was mailed to them. Results: One hundred two patients returned the questionnaire. Patients in the proximal hypospadias group, those using Denis-Browne technique, and those with early complications were markedly dissatisfied with the overall results of hypospadias repair and penile appearance. Moreover, their dissatisfaction grew with the number of operations they had. Thirty-nine (95.1%) of 41 patients using the Denis-Browne technique had voiding problems. Forty-nine (48%) of 102 patients felt inhibited in seeking girlfriends or sexual contacts. Moreover, there was a positive correlation between the level of sexual inhibition and operation times.
机构地区 G. Liu 不详
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