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Abstract

Abstract Title

Hui-Jing Technique for One-stage Severe Primary Hypospadias Repair: Long-term Analysis Compared to the Bracka Technique

Presentation Type

Podium Abstract

Manuscript Type

Clinical Research

Abstract Category *

Pediatric Urology

Author's Information

Number of Authors (including submitting/presenting author) *

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Co-author 1

Xiaoyu Yi xiaoyu19981223@163.com The Seventh Medical Centre, Chinese People's Liberation Army (PLA) General Hospital, Beijing, China Department of Pediatric Urology, Department of Senior Pediatrics Beijing China *

Co-author 2

huixia Zhou huixia99999@163.com The Seventh Medical Centre, Chinese People's Liberation Army (PLA) General Hospital, Beijing, China Department of Pediatric Urology, Department of Senior Pediatrics Beijing China

Co-author 3

Hualin Cao 291041512@qq.com Department of Urology, Nan Xi Shan Hospital of Guangxi Zhuangzu Autonomous Region, Guilin, China Beijing China

Co-author 4

Zhuyuan Wen wenzhuyuan0927@126.com The Seventh Medical Centre, Chinese People's Liberation Army (PLA) General Hospital, Beijing, China Department of Pediatric Urology, Department of Senior Pediatrics Beijing China

Co-author 5

Co-author 6

Co-author 7

Co-author 8

Co-author 9

Co-author 10

Co-author 11

Co-author 12

Co-author 13

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Co-author 20

Abstract Content

Introduction

This study aims to evaluate the outcomes of the Hui-Jing technique (lingual mucosa combined with longitudinal preputial island flap onlay urethroplasty and tubularized incised plate glansplasty) for the severe primary hypospadias repair.

Materials and Methods

42 patients with severe hypospadias underwent surgery using the Hui-Jing technique. Follow-up over a median of 72 months assessed complications and satisfaction using the PPS, HOSE, and IIEF-5 questionnaires. Data from 40 patients undergoing the Bracka technique served as a comparative cohort.

Results

Among the 42 Hui-Jing patients, the mean operative time was 201 minutes, and the median follow-up period was 71 months. Complications occurred in 21% of patients, with urethral stricture in 10%, fistula in 14%, and diverticulum in 2%. Over 80% of patients and their families provided high scores in HOSE and PPPS surveys.

Conclusions

This technique provides a one-stage approach for repairing severe hypospadias, with a lower risk of complications and higher patient satisfaction.

Keywords

Severe hypospadias, One-stage technique, HOSE questionnaire, PPPS questionnaire, IIEF-5 questionnaire

Figure 1

https://storage.unitedwebnetwork.com/files/1237/a2238ba46b142ccd1dcac0ccb2848ae3.jpg

Figure 1 Caption

Surgical procedure.

Figure 2

https://storage.unitedwebnetwork.com/files/1237/5307308020979592382fc7880312f857.jpg

Figure 2 Caption

Preoperative and Postoperative cosmetic outcome.

Figure 3

https://storage.unitedwebnetwork.com/files/1237/f714e68639e181cb7fd399a861e44b7a.jpg

Figure 3 Caption

Schematic diagram of the surgical procedure.

Figure 4

https://storage.unitedwebnetwork.com/files/1237/d691285ec5aff3d9b4d6a100006aaf48.jpg

Figure 4 Caption

The final result.

Figure 5

Figure 5 Caption

Presentation Order