#0150

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

X. Yi¹, h. Zhou¹, H. Cao², Z. Wen¹

¹The Seventh Medical Centre, Chinese People's Liberation Army (PLA) General Hospital, Beijing, China, Department of Pediatric Urology, Department of Senior Pediatrics, Beijing, China
²Department of Urology,, Nan Xi Shan Hospital of Guangxi Zhuangzu Autonomous Region, Guilin, China, Beijing, China

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.

Material 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.