<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2007-4085</journal-id>
<journal-title><![CDATA[Revista mexicana de urología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. mex. urol.]]></abbrev-journal-title>
<issn>2007-4085</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Mexicana de Urología]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2007-40852018000400263</article-id>
<article-id pub-id-type="doi">10.24245/revmexurol.v78i4.2129</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Tratamiento quirúrgico del hipospadias. Experiencia de 10 años]]></article-title>
<article-title xml:lang="en"><![CDATA[Surgical treatment of hypospadias. Ten-year experience]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González-Maldonado]]></surname>
<given-names><![CDATA[Adrián Alejandro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Manzo-Pérez]]></surname>
<given-names><![CDATA[Gildardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vanzzini-Guerrero]]></surname>
<given-names><![CDATA[Marco Antonio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Manzo-Pérez]]></surname>
<given-names><![CDATA[Braulio Omar]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lozada-Hernández]]></surname>
<given-names><![CDATA[Edgard Efrén]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sánchez-López]]></surname>
<given-names><![CDATA[Héctor Manuel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Regional de Alta Especialidad del Bajío Departamento de Urología Pediátrica ]]></institution>
<addr-line><![CDATA[León Guanajuato]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Regional de Alta Especialidad del Bajío Departamento de Urología ]]></institution>
<addr-line><![CDATA[León Guanajuato]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Regional de Alta Especialidad del Bajío  ]]></institution>
<addr-line><![CDATA[León Guanajuato]]></addr-line>
<country>México</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Hospital Regional de Alta Especialidad del Bajío  ]]></institution>
<addr-line><![CDATA[León Guanajuato]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2018</year>
</pub-date>
<volume>78</volume>
<numero>4</numero>
<fpage>263</fpage>
<lpage>272</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2007-40852018000400263&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2007-40852018000400263&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2007-40852018000400263&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  ANTECEDENTES:  El hipospadias es la segunda anomalía congénita urológica más frecuente en varones recién nacidos. En México se ha reportado una prevalencia de 2.6 por 10,000 nacimientos. Aunque existen diversas técnicas quirúrgicas, ninguna se ha estandarizado como tratamiento de elección.  OBJETIVO:  analizar la experiencia de 10 años en el tratamiento de hipospadias, además de describir sus características, técnicas quirúrgicas y complicaciones.  MATERIALES Y MÉTODOS:  Estudio descriptivo, retrospectivo, observacional y transversal al que se incluyeron pacientes operados del hipospadias de 2008 a 2017. Evaluación y análisis de las características del hipospadias, técnicas quirúrgicas implementadas, complicaciones a corto y largo plazo, y tasa de éxito. Las variables categóricas se reportaron como frecuencia y porcentaje. Reporte de variables categóricas: frecuencia y porcentaje. Comparación de variables cualitativas con &#43859;2 o prueba exacta de Fisher. Estimación de medidas de asociación mediante el cálculo de razón de momios e intervalo de confianza de 95%. Se consideró estadísticamente significativo el valor de p &lt; 0.05.  RESULTADOS:  Se registraron 190 pacientes en quienes se efectuó la corrección del hipospadias. De acuerdo con la localización del meato uretral, el hipospadias se clasificó en distal (42.6%), medio (29%) y proximal (28.4%). La edad media fue de 38.9 ± 30.6 meses. La técnica quirúrgica más utilizada fue la tubulización con incisión del plato (46.3%). Se reportaron complicaciones posoperatorias en 52.1% de los casos, principalmente fístula uretrocutánea (24.2%), asociada con la técnica de tubulización con incisión del plato (38.9%), seguida de Thiersch-Duplay (20.3%), Onlay (16.9%), Duckett (13.5%), glanduloplastía de aproximación (5.08%), Mathieu (3.3%) y avance meatal con glanduloplastía (1.6%). La dehiscencia del glande ocurrió en 15.7% y estenosis del meato en 7.8%.  CONCLUSIONES:  La intervención quirúrgica por hipospadias y sus complicaciones siguen siendo un reto para los cirujanos. Este estudio sirve de precedente para identificar las fallas y debilidades al momento de efectuar la corrección quirúrgica. La identificación de factores asociados con la disminución de las complicaciones permanece en investigación.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  BACKGROUND:  Hypospadias is the second most frequent congenital anomaly in newborn males and its frequency in Mexico is reported at 2.6 per 10,000 births. Despite the fact that hundreds of surgical techniques have been described, none of them have been standardized as ideal treatment.  OBJECTIVE: The aim of the present study was to analyze our 10 years of experience in the surgical treatment of hypospadias and describe its characteristics, surgical techniques, and complications.  MATERIALS AND METHODS:  We conducted a retrospective, descriptive, observational, and cross-sectional study on the patients that underwent hypospadias repair over the past 10 years (2008-2017). The characteristics of the hypospadias, surgical techniques employed, short-term and long-term complications, and success rates were evaluated. The categorical variables were reported as frequency and percentage and the qualitative variables were compared using the chi-square test or the Fisher&#8217;s exact test, as required. Measures of association were calculated through the odds ratio with a 95% confidence interval. Statistical significance was set at a p &lt; 0.05.  RESULTS:  We analyzed the data of 190 patients that underwent hypospadias repair. The pathology was classified in accordance with urethral meatus location as distal (42.6%), medial (28.9%), and proximal (28.4%). Mean patient age was 38.9 ± 30.6 months. The most widely used surgical technique was tubularization with incision of the urethral plate (46.3%). Postoperative complications presented in 52.1%, mainly urethrocutaneous fistula (24.2%) associated with the tubularized incised plate technique (38.9%), followed by the Thiersch-Duplay (20.3%), onlay (16.9%), Duckett (13.5%), glans approximation procedure (5.08%), Mathieu (3.39%), and meatal advancement with glanuloplasty (1.69%) techniques. Dehiscence of the glans penis presented in 15.79% of the patients and meatal stricture in 7.89%.  CONCLUSIONS:  Hypospadias surgery and its complications continue to be a surgical challenge. The present study serves as a precedent for identifying failures and weaknesses at the time of carrying out surgical corrections and the identification of factors associated with complication reduction continues to be studied.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Hipospadias]]></kwd>
<kwd lng="es"><![CDATA[complicaciones]]></kwd>
<kwd lng="es"><![CDATA[técnicas quirúrgicas]]></kwd>
<kwd lng="es"><![CDATA[tubulización con incisión del plato]]></kwd>
<kwd lng="en"><![CDATA[Hypospadias]]></kwd>
<kwd lng="en"><![CDATA[Complications]]></kwd>
<kwd lng="en"><![CDATA[Surgical techniques]]></kwd>
<kwd lng="en"><![CDATA[Tubularized incised plate]]></kwd>
</kwd-group>
</article-meta>
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