surgical treatment of hypospadias and complications in relation to the age of the child ́ s age

نویسندگان

  • Mario Díaz Pardo
  • Joel Arreola-García
  • Osvaldo Daniel Castelán-Martínez
  • Rodolfo Rivas-Ruiz
  • Carlos Abel Morales-González
  • Fernando González-Ledón
  • Mario Díaz-Pardo
چکیده

abstract: Hypospadias is one of the most common congenital malformations. Few studies have explored the association of age at time of surgery and the occurrence of complications after hypospadias repair. We undertook this study to determine whether age at hypospadias repair is a risk factor for development of complications. Hypospadias is one of the most common congenital malformations. Few studies have explored the association of age at time of surgery and the occurrence of complications after hypospadias repair. We undertook this study to determine whether age at hypospadias repair is a risk factor for development of complications. methods: Retrospective cohort of patients with hypospadias repair in one surgical event. Data included age, type of hypospadias, surgical technique and complications presented. The monitoring was conducted for 6 months after the surgery. Patients were classified according to age: group A–< 24 months, group B–24 to 48 months and group C–>48 months. We calculated the relative risk and 95% confidence intervals. results: There were 170 patients included in the analysis. Incidence of complications was 24.1%. The most frequent complication was urethrocutaneous fistula (52.2%). The median age (in months) of the group with complications was 40.8 (6-196), whereas in the group without complications it was 37.5 (6-196). Age was not associated with an increased risk for complications, group B (RR= 0.975 [95% CI 0.374-2.547]), and group C (RR= 0.966 [95% CI 0.386-2.416]) when compared with group A. Conclusions: Age at time of surgery for hypospadias correction in one event is not associated with complications.

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تاریخ انتشار 2014