Effect of divergent corpus spongiosum repair on the diameter of coronary sulcus,maximum flow rate and complications in patients undergoing Duckett surgery for hypospadias
Objective To analyze the effect of divergent corpus spongiosum repair on the di-ameter of coronary sulcus,urethral length and complications in patients undergoing Duckett surgery for hypospadias.Methods A total of 85 patients with hypospadias treated in our hospital from January 2017 to May 2020 were selected as the research subjects.All underwent Duckett surgery after admis-sion.According to different repair methods,the patients were divided into observation group(diver-gent corpus spongiosum repair,44 cases)and control group(fascia coverage repair,41 cases).Treatments and complication of the two groups were compared.Results There was no significant difference in operation time,intraoperative blood loss,time to get out of bed or hospital stay between the two groups(all P＞0.05).After the operation,the diameter of coronary sulcus and the length of reconstructed urethra in the two groups were not significantly different from those before the operation(all P＞0.05),while the maximum flow rate was lower than that before the operation(all P＜0.05).There was no significant difference in the diameter of coronary sulcus or the length of reconstructed ure-thra between the two groups(all P＞0.05).The maximum flow rate in the observation group was sig-nificantly higher than that in the control group(P＜0.05).The FLACC scores of the observation group were significantly lower than those of the control group on day 1,day 2 and day 3 after operation(all P＜0.05).The FLACC scores of the two groups on day 1,day 3 and day 2 after operation in-creased in sequence(all P＜0.05).The total incidence of complications in the observation group was significantly lower than that in the control group(P＜0.05).Conclusions Applying divergent corpus spongiosum repair in Duckett surgery can significantly reduce postoperative complications in patients with hypospadias,with less adverse effects on urinary function and pain.
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