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Date Published: 31/12/2025
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DOI: https://doi.org/10.51298/vmj.v557i2.16673
Issue
Vol. 557 No. 2 (2025)
Section
Các bài báo
How to Cite
Châu, V. V., Nguyễn, T. P. T., Dương, V. C., & Lò, M. T. (2025). INITIAL RESULTS OF SINGLE-STAGE URETHROPLASTY FOR SEVERE HYPOSPADIAS AT THAI NGUYEN NATIONAL HOSPITAL. Vietnam Medical Journal, 557(2). https://doi.org/10.51298/vmj.v557i2.16673

INITIAL RESULTS OF SINGLE-STAGE URETHROPLASTY FOR SEVERE HYPOSPADIAS AT THAI NGUYEN NATIONAL HOSPITAL

Văn Việt Châu, Thị Phương Thảo Nguyễn, Văn Cần Dương, Minh Trọng Lò

Main Article Content

Abstract

Objective: To evaluate the results of one-stage surgery using the modified Duckett method to treat severe hypospadias. Research method: A cross-sectional descriptive study on 28 patients with severe hypospadias (penile base - scrotum), who underwent one-stage urethroplasty from August 2023 to June 2024 at Thai Nguyen Central Hospital. Results: The average age was 4.1 ± 3 years. There were 4 patients (14.3%) with unilateral cryptorchidism and 1 patient with bilateral cryptorchidism (3.6%). Severe penile curvature (> 45°) was present in 19 (67.9%) patients. The average length of the missing urethral segment was 5.2 ± 1.4 cm. There were 4 patients (14.3%) who used pedicled flaps and local flaps. Early surgical results: Prosthesis obstruction occurred in 2 cases (7.15%); bleeding in 1 case (3.6%); edema in 16 patients (57.1%); skin necrosis in 2 patients (7.1%); scrotal discharge in 2 patients (7.1%). Immediately after catheter removal, 5 patients had urethral fistula (17.9%), 1 patient had urethral stricture (3.6%). After 6 months of re-examination, 5 patients had fistula (17.9%) and 2 patients had urethral stricture (7.1%).

Article Details

Keywords

Hypospadias, urethral stricture, urethral fistula, penile curvature

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