TY - JOUR
T1 - Age does not impact risk for urethroplasty complications after tubularized incised plate repair of hypospadias in prepubertal boys
AU - Bush, Nicol Corbin
AU - Holzer, Michael
AU - Zhang, Song
AU - Snodgrass, Warren
N1 - Funding Information:
This project was supported by NIH Grant UL1RR024982 . Dr. Bush is supported by NIH Grant KL2RR024983 and a research grant from Coloplast Corporation .
PY - 2013/6
Y1 - 2013/6
N2 - Objective: Patients often present before or after the recommended age of 6-18 months for hypospadias repair. Reports indicate complications may increase when repair is delayed past 6-12 months of age. We questioned if age was an independent risk for urethroplasty complications (UC). Methods: A prospectively maintained database of consecutive patients undergoing tubularized incised plate (TIP) repair was queried for age at surgery, primary or reoperative TIP, meatal location, glansplasty suture, and learning curve. The presence of UC (fistula, dehiscence, stricture, meatal stenosis) was analyzed with logistic regression. Results: TIP repairs were performed for 669 consecutive prepubertal patients aged 3-144 months (mean 17.1, SD 22.5). Original meatal location was distal in 540 (80.7%), midshaft in 50 (7.5%), and proximal in 79 (11.8%). Reoperative TIP occurred in 73 (10.9%). UC occurred in 77 (11.5%). Reoperative TIP (OR 3.07, 95% CI 1.54-6.13) and meatal location (OR 1.79, 95% CI 1.34-2.40) were the only independent risk factors for UC. Neither younger nor older age increased risk for UC. Conclusions: Our data from consecutive TIP repairs in prepubertal children indicate age at surgery does not increase odds of UC. Surgery can be performed any time after 3 months (in full-term, healthy boys) without raising the rate of UC.
AB - Objective: Patients often present before or after the recommended age of 6-18 months for hypospadias repair. Reports indicate complications may increase when repair is delayed past 6-12 months of age. We questioned if age was an independent risk for urethroplasty complications (UC). Methods: A prospectively maintained database of consecutive patients undergoing tubularized incised plate (TIP) repair was queried for age at surgery, primary or reoperative TIP, meatal location, glansplasty suture, and learning curve. The presence of UC (fistula, dehiscence, stricture, meatal stenosis) was analyzed with logistic regression. Results: TIP repairs were performed for 669 consecutive prepubertal patients aged 3-144 months (mean 17.1, SD 22.5). Original meatal location was distal in 540 (80.7%), midshaft in 50 (7.5%), and proximal in 79 (11.8%). Reoperative TIP occurred in 73 (10.9%). UC occurred in 77 (11.5%). Reoperative TIP (OR 3.07, 95% CI 1.54-6.13) and meatal location (OR 1.79, 95% CI 1.34-2.40) were the only independent risk factors for UC. Neither younger nor older age increased risk for UC. Conclusions: Our data from consecutive TIP repairs in prepubertal children indicate age at surgery does not increase odds of UC. Surgery can be performed any time after 3 months (in full-term, healthy boys) without raising the rate of UC.
KW - Age
KW - Anesthetic risk
KW - Complications
KW - Hypospadias repair
KW - TIP
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U2 - 10.1016/j.jpurol.2012.03.014
DO - 10.1016/j.jpurol.2012.03.014
M3 - Review article
C2 - 22542204
AN - SCOPUS:84877582660
SN - 1477-5131
VL - 9
SP - 252
EP - 256
JO - Journal of Pediatric Urology
JF - Journal of Pediatric Urology
IS - 3
ER -