{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T20:17:55Z","timestamp":1789503475466,"version":"build-2803163510"},"reference-count":31,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2024,9,3]],"date-time":"2024-09-03T00:00:00Z","timestamp":1725321600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bjui-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJU International"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To assess the cumulative rates of re\u2010operations after hypospadias repair and evaluate long\u2010term surgical outcomes at a tertiary paediatric urology centre.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and Methods<\/jats:title>\n                    <jats:p>Retrospective analysis of 293 boys born between 1991 and 2003 undergoing hypospadias surgery was conducted. The study included 274 patients: 165 with distal, 34 with midshaft, and 75 with proximal hypospadias. Kaplan\u2013Meier methods were used to evaluate the re\u2010operation data.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The median age at primary surgery was 1.3\u2009years, with a median follow\u2010up of 14.4\u2009years. The overall re\u2010operation rate was 48.2%, with approximately half of the problems detected within the first 3\u2009months after surgery. The risk of re\u2010operation was correlated with hypospadias severity, with 5\u2010 and 15\u2010year re\u2010operation risks at 39.3% and 51.8%, respectively. Limitations of the study include its retrospective nature and variations in surgical techniques from current standards.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>There is a significant risk of unplanned re\u2010operations following hypospadias repair, increasing with the severity of the original condition. This underscores the need for extended follow\u2010up and effective communication with patients and their families about the likelihood of requiring multiple surgeries for optimal outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/bju.16519","type":"journal-article","created":{"date-parts":[[2024,9,3]],"date-time":"2024-09-03T04:38:09Z","timestamp":1725338289000},"page":"960-966","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Cumulative re\u2010operation rates during follow\u2010up after hypospadias repair"],"prefix":"10.1111","volume":"134","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-3394-6247","authenticated-orcid":false,"given":"Annaleena","family":"Anttila","sequence":"first","affiliation":[{"name":"Department of Pediatric Surgery, Section of Pediatric Urology, New Children's Hospital Helsinki University Hospital  Helsinki Finland"},{"name":"Department of Pediatric Surgery Tampere 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