Clinical characteristics, complications and satisfaction of megameatus intact prepuce (MIP) hypospadias variant: a 15 year retrospective study

Abstract Background To analyze the clinical characteristics, complications and patients satisfaction of MIP hypospadias variant. Methods A retrospective analysis was performed for 31 patients with MIP admitted to our hospital from January 2008 to February 2023. All enrolled patients underwent teleph...

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Main Authors: Meng He, Songqiao Fan, Ning Sun, Jun Tian, Minglei Li, Hongcheng Song, Weiping Zhang
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Urology
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Online Access:https://doi.org/10.1186/s12894-025-01700-2
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author Meng He
Songqiao Fan
Ning Sun
Jun Tian
Minglei Li
Hongcheng Song
Weiping Zhang
author_facet Meng He
Songqiao Fan
Ning Sun
Jun Tian
Minglei Li
Hongcheng Song
Weiping Zhang
author_sort Meng He
collection DOAJ
description Abstract Background To analyze the clinical characteristics, complications and patients satisfaction of MIP hypospadias variant. Methods A retrospective analysis was performed for 31 patients with MIP admitted to our hospital from January 2008 to February 2023. All enrolled patients underwent telephone follow-up and a survey was conducted on the satisfaction of patients and their families. Outcome analysis was focused on clinical data includes age, position of the meatus, penile curvature, type of repair, complications and satisfaction survey results. Statistical analyses were performed using R software. Results The average age of 31 MIP patients was 92.1 ± 40.7 months, and the median follow-up time was 49.0 [21.0–82.2] months. Twenty one patients (67.7%, 21/31) had ventral curvature and no dorsal curvature was observed. All cases were divided into chordee group and no chordee group. There was a statistical difference in age (80.4 ± 41.6 Vs 117.0 ± 26.0 months) and weight (22.7 [15.8–35.0] Vs 45.0 [32.0–46.0] kg) between the two groups. Six children (19.4%, 6/31) experienced post-operative complications; however, none required reoperation. The only risk factors for complications were the meatus position and whether urethroplasty was performed.Only the occurrence of complications may affect patients satisfaction. Conclusions MIP hypospadias variants can exhibit severe ventral curvature. Surgery can achieve good results with a low incidence of complications. A satisfactory skin appearance and adequate curvature correction are key concerns for both patients and parents.
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spelling doaj-art-4095996915184e9d892a5fa2ab7dfc612025-01-26T12:54:11ZengBMCBMC Urology1471-24902025-01-012511610.1186/s12894-025-01700-2Clinical characteristics, complications and satisfaction of megameatus intact prepuce (MIP) hypospadias variant: a 15 year retrospective studyMeng He0Songqiao Fan1Ning Sun2Jun Tian3Minglei Li4Hongcheng Song5Weiping Zhang6Department of Urology, Beijing Children’s Hospital, Capital Medical University, National Center for Children’s HealthDepartment of Urology, Beijing Children’s Hospital, Capital Medical University, National Center for Children’s HealthDepartment of Urology, Beijing Children’s Hospital, Capital Medical University, National Center for Children’s HealthDepartment of Urology, Beijing Children’s Hospital, Capital Medical University, National Center for Children’s HealthDepartment of Urology, Beijing Children’s Hospital, Capital Medical University, National Center for Children’s HealthDepartment of Urology, Beijing Children’s Hospital, Capital Medical University, National Center for Children’s HealthDepartment of Urology, Beijing Children’s Hospital, Capital Medical University, National Center for Children’s HealthAbstract Background To analyze the clinical characteristics, complications and patients satisfaction of MIP hypospadias variant. Methods A retrospective analysis was performed for 31 patients with MIP admitted to our hospital from January 2008 to February 2023. All enrolled patients underwent telephone follow-up and a survey was conducted on the satisfaction of patients and their families. Outcome analysis was focused on clinical data includes age, position of the meatus, penile curvature, type of repair, complications and satisfaction survey results. Statistical analyses were performed using R software. Results The average age of 31 MIP patients was 92.1 ± 40.7 months, and the median follow-up time was 49.0 [21.0–82.2] months. Twenty one patients (67.7%, 21/31) had ventral curvature and no dorsal curvature was observed. All cases were divided into chordee group and no chordee group. There was a statistical difference in age (80.4 ± 41.6 Vs 117.0 ± 26.0 months) and weight (22.7 [15.8–35.0] Vs 45.0 [32.0–46.0] kg) between the two groups. Six children (19.4%, 6/31) experienced post-operative complications; however, none required reoperation. The only risk factors for complications were the meatus position and whether urethroplasty was performed.Only the occurrence of complications may affect patients satisfaction. Conclusions MIP hypospadias variants can exhibit severe ventral curvature. Surgery can achieve good results with a low incidence of complications. A satisfactory skin appearance and adequate curvature correction are key concerns for both patients and parents.https://doi.org/10.1186/s12894-025-01700-2MIPCurvatureComplicationsSatisfactionChildren
spellingShingle Meng He
Songqiao Fan
Ning Sun
Jun Tian
Minglei Li
Hongcheng Song
Weiping Zhang
Clinical characteristics, complications and satisfaction of megameatus intact prepuce (MIP) hypospadias variant: a 15 year retrospective study
BMC Urology
MIP
Curvature
Complications
Satisfaction
Children
title Clinical characteristics, complications and satisfaction of megameatus intact prepuce (MIP) hypospadias variant: a 15 year retrospective study
title_full Clinical characteristics, complications and satisfaction of megameatus intact prepuce (MIP) hypospadias variant: a 15 year retrospective study
title_fullStr Clinical characteristics, complications and satisfaction of megameatus intact prepuce (MIP) hypospadias variant: a 15 year retrospective study
title_full_unstemmed Clinical characteristics, complications and satisfaction of megameatus intact prepuce (MIP) hypospadias variant: a 15 year retrospective study
title_short Clinical characteristics, complications and satisfaction of megameatus intact prepuce (MIP) hypospadias variant: a 15 year retrospective study
title_sort clinical characteristics complications and satisfaction of megameatus intact prepuce mip hypospadias variant a 15 year retrospective study
topic MIP
Curvature
Complications
Satisfaction
Children
url https://doi.org/10.1186/s12894-025-01700-2
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