{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T10:52:13Z","timestamp":1785840733489,"version":"3.56.0"},"reference-count":24,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2018,5,1]],"date-time":"2018-05-01T00:00:00Z","timestamp":1525132800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Medical and Health Science and Technology Project of Zhejiang Province","award":["2017KY102"],"award-info":[{"award-number":["2017KY102"]}]},{"name":"Medical and Health Science and Technology Project of Zhejiang Province","award":["2018KY446"],"award-info":[{"award-number":["2018KY446"]}]},{"DOI":"10.13039\/501100014996","name":"Health and Family Planning Commission of Zhejiang Province","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100014996","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J of Urology"],"published-print":{"date-parts":[[2018,7]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>To find a new appropriate evaluation for urethral plate quality in hypospadias repair, with particular interest in the width proportion of the urethral plate to the glans, serving as an appraisal index.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Data were prospectively collected from prepubertal boys who underwent primary tubularized incised plate hypospadias repair between January 2014 and April 2016 in one center. Intrinsic parameters of the penis (meatal location, glans width, urethral plate width and curvature degree) were measured during the operation. Urethroplasty complications were recorded during follow up. The correlation between width proportion of the urethral plate to the glans and urethroplasty complications was analyzed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Primary tubularized incised plate repair was carried out in 442 patients (mean age 2.8 years, range 0.5\u201312 years). At mean follow up of 26 months (range 12\u201338 months), urethroplasty complications occurred in 59 (13.3%) patients. The width proportion of the urethral plate to the glans was weakly correlated to both the glans width and meatal location. The width proportion of the urethral plate to the glans ranged from 0.18 to 0.73, with a mean of 0.39. The cut\u2010off value of width proportion of the urethral plate to the glans was determined to be 0.36 by <jats:styled-content style=\"fixed-case\">the receiver operating characteristic<\/jats:styled-content> curve. Urethroplasty complications occurred in 17 out of 254 patients (6.7%) with width proportion of the urethral plate to the glans &gt;0.36, and 42 out of 188 patients (22.3%) with width proportion of the urethral plate to the glans \u22640.36. The width proportion of the urethral plate to the glans \u22640.36 showed an increased odds of 4.819\u2010fold (95% <jats:styled-content style=\"fixed-case\">confidence interval<\/jats:styled-content> 2.548\u20139.112, <jats:italic>P<\/jats:italic> &lt; 0.001) risk of <jats:styled-content style=\"fixed-case\">urethroplasty complications<\/jats:styled-content> compared with width proportion of the urethral plate to the glans &gt;0.36. Midshaft and proximal meatal location also increased the risk of <jats:styled-content style=\"fixed-case\">urethroplasty complications<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The present study highlights the value of the width proportion of the urethral plate to the glans for objectivity and accuracy in urethral plate evaluation, which in turn serves as an independent factor influencing outcomes in tubularized incised plate repair.<\/jats:p><\/jats:sec>","DOI":"10.1111\/iju.13585","type":"journal-article","created":{"date-parts":[[2018,5,2]],"date-time":"2018-05-02T00:44:14Z","timestamp":1525221854000},"page":"649-653","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Width proportion of the urethral plate to the glans can serve as an appraisal index of the urethral plate in hypospadias repair"],"prefix":"10.1111","volume":"25","author":[{"given":"Wei","family":"Ru","sequence":"first","affiliation":[{"name":"Zhejiang University School of Medicine Children's Hospital Hangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jing","family":"Shen","sequence":"additional","affiliation":[{"name":"Amcare Women's and Children's Hospital Hangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daxing","family":"Tang","sequence":"additional","affiliation":[{"name":"Zhejiang University School of Medicine Children's Hospital Hangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shan","family":"Xu","sequence":"additional","affiliation":[{"name":"Zhejiang University School of Medicine Children's Hospital Hangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dehua","family":"Wu","sequence":"additional","affiliation":[{"name":"Zhejiang University School of Medicine Children's Hospital Hangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chang","family":"Tao","sequence":"additional","affiliation":[{"name":"Zhejiang University School of Medicine Children's Hospital Hangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guangjie","family":"Chen","sequence":"additional","affiliation":[{"name":"Zhejiang University School of Medicine Children's Hospital Hangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lei","family":"Gao","sequence":"additional","affiliation":[{"name":"Zhejiang University School of Medicine Children's Hospital Hangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaohao","family":"Wang","sequence":"additional","affiliation":[{"name":"Zhejiang University School of Medicine Children's Hospital Hangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yiding","family":"Shen","sequence":"additional","affiliation":[{"name":"Zhejiang University School of Medicine Children's Hospital Hangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,5]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2011.08.031"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1015-9584(09)60399-7"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2006.09.104"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpurol.2009.11.008"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpurol.2010.11.009"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(05)67408-3"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpurol.2013.04.006"},{"issue":"71","key":"e_1_2_8_9_1","first-page":"e1","article-title":"Further analysis of the Glans\u2010Urethral Meatus\u2010Shaft (GMS) hypospadias score: correlation with postoperative complications","volume":"11","author":"Arlen AM","year":"2015","journal-title":"J. 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Urol."},{"issue":"625","key":"e_1_2_8_16_1","first-page":"e1","article-title":"Pre\u2010incision urethral plate width does not impact short\u2010term tubularized incised plate urethroplasty outcomes","volume":"13","author":"Bush NC","year":"2017","journal-title":"J. Pediatr. Urol."},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2009.04.034"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpurol.2009.09.003"},{"issue":"70","key":"e_1_2_8_19_1","first-page":"e1","article-title":"Grade of hypospadias is the only factor predicting for re\u2010intervention after primary hypospadias repair: a multivariate analysis from a cohort of 474 patients","volume":"11","author":"Spinoit AF","year":"2015","journal-title":"J. Pediatr. 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