{"id":688,"date":"2018-02-10T13:06:35","date_gmt":"2018-02-10T13:06:35","guid":{"rendered":"http:\/\/cru.aeu.es\/?p=688"},"modified":"2018-02-10T13:08:40","modified_gmt":"2018-02-10T13:08:40","slug":"clasificar-la-hipospadia-y-actuar","status":"publish","type":"post","link":"https:\/\/cru.aeu.es\/?p=688","title":{"rendered":"Clasificar la hipospadia y actuar."},"content":{"rendered":"<div class=\"cit\"><span role=\"menubar\"><a title=\"Medicine.\" role=\"menuitem\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/29381913#\" aria-expanded=\"false\" aria-haspopup=\"true\">Medicine (Baltimore).<\/a><\/span>\u00a02017 Nov;96(47)<\/div>\n<h1>The\u00a0<span class=\"highlight\">hypospadias<\/span>\u00a0classification affected the surgical outcomes of staged oral mucosa graft urethroplasty in\u00a0<span class=\"highlight\">hypospadias<\/span>\u00a0reoperation: An observational study.<\/h1>\n<div class=\"auths\"><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/?term=Zheng%20D%5BAuthor%5D&amp;cauthor=true&amp;cauthor_uid=29381913\">Zheng D<\/a><sup>1<\/sup>,\u00a0<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/?term=Fu%20S%5BAuthor%5D&amp;cauthor=true&amp;cauthor_uid=29381913\">Fu S<\/a>,\u00a0<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/?term=Li%20W%5BAuthor%5D&amp;cauthor=true&amp;cauthor_uid=29381913\">Li W<\/a>,\u00a0<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/?term=Xie%20M%5BAuthor%5D&amp;cauthor=true&amp;cauthor_uid=29381913\">Xie M<\/a>,\u00a0<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/?term=Guo%20J%5BAuthor%5D&amp;cauthor=true&amp;cauthor_uid=29381913\">Guo J<\/a>,\u00a0<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/?term=Yao%20H%5BAuthor%5D&amp;cauthor=true&amp;cauthor_uid=29381913\">Yao H<\/a>,\u00a0<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/?term=Wang%20Z%5BAuthor%5D&amp;cauthor=true&amp;cauthor_uid=29381913\">Wang Z<\/a>.<\/div>\n<div class=\"abstr\">\n<h3>Abstract<\/h3>\n<div class=\"\">\n<p>The staged graft urethroplasty is a recommended technique for repairing complex\u00a0<span class=\"highlight\">hypospadias<\/span>. This retrospective study aimed to investigate the outcomes of this technique in\u00a0<span class=\"highlight\">hypospadias<\/span>\u00a0patients undergoing reoperation and to analyze the underlying contributing factors including age, meatus location, and graft and suture type.We retrospectively analyzed 40\u00a0<span class=\"highlight\">hypospadias<\/span>\u00a0patients undergoing reoperation who received a staged oral graft urethroplasty, including 15 buccal mucosal grafts and 25 lingual mucosal grafts. Median age at presentation was 18.5 years, and median follow-up was 17.5 months (range 8-30 months). The patients were classified according to their original meatus location.Twenty-five complications developed in 12 of 40 (30%) cases, including 6 fistulas (15%), 7 infections (17.5%), 9 cases of glans dehiscence (22.5%), and 3 cases of stenosis (7.5%). There was no significant difference in the overall complication rates between prepuberty and postpuberty groups. In addition, no significant difference in complications was found between the 2 graft techniques. The complications were significantly higher in the original perineal type compared with the original penoscrotal type (7\/10 vs 5\/30, P\u200a=\u200a.0031). Seven patients who originally had perineal\u00a0<span class=\"highlight\">hypospadias<\/span>\u00a0developed multiple complications.Based on this study, the staged graft urethroplasty is an effective technique in reoperative\u00a0<span class=\"highlight\">hypospadias<\/span>\u00a0repairs with reasonable complication risk. The\u00a0<span class=\"highlight\">hypospadias<\/span>\u00a0classification affects the surgical outcomes.<\/p>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Medicine (Baltimore).\u00a02017 Nov;96(47) The\u00a0hypospadias\u00a0classification affected the surgical outcomes of staged oral mucosa graft urethroplasty in\u00a0hypospadias\u00a0reoperation: An observational study. Zheng D1,\u00a0Fu S,\u00a0Li W,\u00a0Xie M,\u00a0Guo J,\u00a0Yao H,\u00a0Wang Z. Abstract The staged graft urethroplasty is a recommended technique for repairing complex\u00a0hypospadias. This retrospective &hellip;<\/p>\n<p class=\"read-more\"> <a class=\"more-link\" href=\"https:\/\/cru.aeu.es\/?p=688\"> <span class=\"screen-reader-text\">Clasificar la hipospadia y actuar.<\/span> Leer m\u00e1s \u00bb<\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[10],"tags":[],"class_list":["post-688","post","type-post","status-publish","format-standard","hentry","category-hipospadia-infantil"],"_links":{"self":[{"href":"https:\/\/cru.aeu.es\/index.php?rest_route=\/wp\/v2\/posts\/688","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cru.aeu.es\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/cru.aeu.es\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/cru.aeu.es\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/cru.aeu.es\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=688"}],"version-history":[{"count":1,"href":"https:\/\/cru.aeu.es\/index.php?rest_route=\/wp\/v2\/posts\/688\/revisions"}],"predecessor-version":[{"id":689,"href":"https:\/\/cru.aeu.es\/index.php?rest_route=\/wp\/v2\/posts\/688\/revisions\/689"}],"wp:attachment":[{"href":"https:\/\/cru.aeu.es\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=688"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cru.aeu.es\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=688"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cru.aeu.es\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=688"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}