KẾT QUẢ PHẪU THUẬT SỚM LỖ TIỂU THẤP BẰNG VẠT DA QUY ĐẦU

Abstract

Objective: To describe the early results of penile hypospadias and posterior hypospadias repair using foreskin. Subjects and methods: a retrospective review of medical records for patients who underwent repair of penile hypospadias and posterior hypospadias using a vascularized foreskin flap and free foreskin graft at the National Children's Hospital from January 2023 to December 2024. Statistical analysis was conducted using R Studio software. Results: A total of 185 patients with hypospadias repair using a vascularized foreskin flap and a free foreskin graft. Among these, 112 patients had penile hypospadias, accounting for 60.5% of the cases, while 73 patients had posterior hypospadias, making up 39.5%. The median age at the time of surgery was 44 months, with a range from 19 to 143 months. The average length of the urethral defect was 3.5 ± 0.8 cm, varying between 1.5 and 7.0 cm. The overall complication rate was 22.7%. Notably, the complication rate for patients with penile hypospadias was approximately half that of those with posterior hypospadias, with rates of 17.0% and 31.5%, respectively (p = 0.016, indicating a statistically significant difference). However, the incidence of complications did not correlate with the age at surgery, the length of the urethral defect, or the type of flap used, including a vascularized foreskin flap, a sized foreskin flap, and a free foreskin graft (p > 0.05). Conclusion: The overall complication rate after penile hypospadias and posterior hypospadias surgery using a foreskin is approximately one-fifth of cases. In penile hypospadias, the complication rate is about half that of posterior cases.