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. 2012 Fall;4(4):609-12.
doi: 10.5812/numonthly.1853. Epub 2012 Sep 24.

Different outcomes of hypospadias surgery between north america, europe and china: is patient age a factor?

Wenli Lu  1 , Yuehong Tao, Amy B Wisniewski, Dominic Frimberger, Brad P Kropp
Affiliations

Different outcomes of hypospadias surgery between north america, europe and china: is patient age a factor?

Wenli Lu et al. Nephrourol Mon. 2012 Fall.

Abstract

BACKGROUND AND OBJECTS: The patient's age at the first hypospadias repair may be an important factor for determining postoperative outcomes. Age at the first procedure differs between Western countries and medical centers in China. This review examines the differences between the incidence of surgical complications and surgical age in boys receiving hypospadias repairs in North America, Europe and China.

Materials and methods: Literature reports were reviewed in PubMed and WanFang databases using the key terms and phrases; 'hypospadias outcomes', 'complications of hypospadias repair' and 'timing of hypospadias repair'. All peer-reviewed articles published over the past decade (2001-2011) were considered if; a full text was available, the article included age at the first hypospadias procedure and surgical complications.

Results: In total, 16 131 patients were reported in 113 papers from North America, Europe and China according to our inclusion criteria. There was a significant difference in age at the first hypospadias surgery (P < 0.0005) and in the incidence of complications (P <0.001) between the different global regions investigated, with the earliest surgeries occurring in North American patients. Urethral fistulas were the most common complication reported in all of the regions included in this study.

Conclusions: Fellowship training in pediatric urology could improve surgical outcomes, particularly in young children. Younger children experience fewer complications following hypospadias surgeries, independent of training and access to resources.

Keywords: General Surgery; Hypospadias; Outcomes Assessment.

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References

    1. Baskin LS. Hypospadias and urethral development. J Urol. 2000;163(3):951–6. doi: 10.1097/00005392-200003000-00076. - DOI - PubMed
    1. Timing of elective surgery on the genitalia of male children with particular reference to the risks, benefits, and psychological effects of surgery and anesthesia. American Academy of Pediatrics. Pediatrics. 1996;97(4):590–4. - PubMed
    1. Manzoni G, Bracka A, Palminteri E, Marrocco G. Hypospadias surgery: when, what and by whom? BJU Int. 2004;94(8):1188–95. doi: 10.1046/j.1464-410x.2004.05128.x. - DOI - PubMed
    1. Mureau MA, Slijper FM, Slob AK, Verhulst FC. Psychosocial functioning of children, adolescents, and adults following hypospadias surgery: a comparative study. J Pediatr Psychol. 1997;22(3):371–87. doi: 10.1093/jpepsy/22.3.371. - DOI - PubMed
    1. DeLair SM, Tanaka ST, Yap SA, Kurzrock EA. Training residents in hypospadias repair: variations of involvement. J Urol. 2008;179(3):1102–6. doi: 10.1016/j.juro.2007.10.090. - DOI - PubMed

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