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22 -7 (81) 2025 - Otamuradov F.A., Nurmamatov D.S. - COMPARATIVE EFFECTIVENESS OF MODERN SURGICAL METHODS FOR DISTAL HYPOSPADIAS TREATMENT

COMPARATIVE EFFECTIVENESS OF MODERN SURGICAL METHODS FOR DISTAL HYPOSPADIAS TREATMENT

Otamuradov F.A. - Termez branch of the Tashkent Medical Academy

Nurmamatov D.S. - Kashkadarya Regional Children's Multidisciplinary Medical Center

Resume

Background: Selection of optimal technique for distal hypospadias remains controversial due to complication rates varying from 5% to 50%. Objective: Comparative assessment of three main surgical techniques for distal hypospadias repair. Methods: Retrospective-prospective cohort study of 191 patients (age 6.5±3.9 years): TIP-M (n=56), TIP (n=58), Duplay (n=77). Mean follow-up 28.4±16.2 months. Results: Early complications: TIP-M - 26.8%, TIP - 50.0%, Duplay - 76.6% (p<0.001). Late complications: 7.1%, 25.9%, 42.9% respectively (p<0.001). Excellent results: 73.2%, 34.5%, 15.5% (p<0.001). Reoperations: 5.4%, 19.0%, 32.5% (p<0.001). Multivariate analysis showed TIP-M reduced complication risk 9-fold compared to Duplay (OR=0.11; p<0.001). Conclusions: TIP-M demonstrates superior outcomes across all effectiveness parameters and can be recommended as first-choice method for distal hypospadias repair.

Keywords: distal hypospadias, comparative effectiveness, TIP modification, pediatric urology, surgical outcomes

First page

106

Last page

113

For citation:Otamuradov F.A., Nurmamatov D.S. - COMPARATIVE EFFECTIVENESS OF MODERN SURGICAL METHODS FOR DISTAL HYPOSPADIAS TREATMENT//New Day in Medicine 7(81)2025 106-113 https://newdayworldmedicine.com/en/new_day_medicine/7-81-2025

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