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2014, Number 2

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Cir Cir 2014; 82 (2)

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

Arreola-García J, Castelán-Martínez OD, Rivas-Ruiz R. Morales-González CA, González-Ledón F, Díaz-Pardo M

Language: Spanish
References: 21
Page: 157-162
PDF size: 372.44 Kb.


ABSTRACT

Background: 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.
Objective: 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 time. The data included: age, type of hypospadias, surgical technique and complications presented. The monitoring was conducted for six months after the surgery. Patients were classified according to age group A less than 24 months, group B from 24 to 48 months and group C over 48 months. We calculated the relative risk and confidence intervals of 95%.
Results: 170 patients were included in the analysis. The incidence of complications was 24.1%, the most frequent complication was urethrocutaneous fistula (52.2%). The median age in months of the complication group was 40.8 (6-196), whereas in the group without complications 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 phase is not associated with complications.


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