COMPARISON OF ONE STAGE AND TWO STAGE URETHROPLASTY FOR HYPOSPADIAS

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  • 尿道下裂に対する一期的及び二期的尿道形成術の比較検討

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130 cases of urethroplasty done at Hokkaido University Hospital in the past eleven years (from Jan. 1975 through Dec. 1985) were analyzed, comparing one stage (82 cases) and two stage (38 cases) procedures with respect to their a) operating and anesthetic time, b) length of hospital stay, c) complications and d) overall success rates.<br>The results were as follows: a) There was no difference in the operating time, which was 4 hours on the average. Although there was a thirty minute prolongation in the one stage repair of proximal type, a bit longer anesthetic time was required in the two stage procedure. b) The length of hospital stay was 26days and 46days for one and two stage, respectively. c) Fistula and meatal recession were the most often encountered complications, and more difficulties were associated in their repairs after the two staged. d) Over all primary success was obtained in 70 per cent of both groups.<br>From these results, it was concluded that the one stage urethroplasty is superior to the two stage procedure.

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