{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,19]],"date-time":"2025-12-19T15:41:02Z","timestamp":1766158862565,"version":"3.40.5"},"reference-count":18,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2022,1,19]],"date-time":"2022-01-19T00:00:00Z","timestamp":1642550400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J of Urology"],"published-print":{"date-parts":[[2022,5]]},"abstract":"Objectives<\/jats:title>The aim of this study was to analyze the efficacy of segment urethroplasty to treat severe chordee with congenital short urethra and compared one\u2010stage and two\u2010stage segment urethroplasty. This procedure involved urethral transection to correct the chordee, and urethroplasty was performed to restore natural penile length.<\/jats:p><\/jats:sec>Methods<\/jats:title>We retrospectively studied a cohort of patients with severe chordee and congenital short urethra who underwent one\u2010 or two\u2010stage segment urethroplasty at our institution between February 2006 and May 2020. We evaluated the efficacy of the procedures based on the incidence of complications.<\/jats:p><\/jats:sec>Results<\/jats:title>A total of 37 children were included in this study: 25 were treated with two\u2010stage segment urethroplasty and 12 were treated with one\u2010stage segment urethroplasty. The median length of neourethra in the one\u2010stage repair group (3.21\u2009cm) was similar to that in the two\u2010stage repair group (3.23\u2009cm; P<\/jats:italic>\u2009>\u20090.05). Of the 37 patients, 32 (86.5%) were cured after urethroplasty. There were three patients with complications in the one\u2010stage repair group (one urethral fistula and two urethral strictures) and two patients with fistula in the two\u2010stage repair group. Among the five patients with complications, the three fistulas were successfully repaired through reoperation and the two urethral strictures were cured after urethral dilatation. No patient had diverticulum or recurrent chordee.<\/jats:p><\/jats:sec>Conclusions<\/jats:title>Segment urethroplasty achieved satisfactory outcomes in the treatment of severe chordee with congenital short urethra. This can restore natural penile length, and the recurrence rate of severe chordee is low. The overall success rate of the two\u2010stage procedure tends to be better than that of the one\u2010stage procedure.<\/jats:p><\/jats:sec>","DOI":"10.1111\/iju.14800","type":"journal-article","created":{"date-parts":[[2022,1,20]],"date-time":"2022-01-20T00:24:11Z","timestamp":1642638251000},"page":"422-426","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Efficacy of one\u2010 and two\u2010stage segment urethroplasty for severe chordee with congenital short urethra"],"prefix":"10.1111","volume":"29","author":[{"given":"Guanglun","family":"Zhou","sequence":"first","affiliation":[{"name":"Department of Urology and Laboratory of Pelvic Floor Muscle Function Shenzhen Children\u2019s Hospital Shenzhen Guangdong China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jianchun","family":"Yin","sequence":"additional","affiliation":[{"name":"Department of Urology and Laboratory of Pelvic Floor Muscle Function Shenzhen Children\u2019s Hospital Shenzhen Guangdong China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Junjie","family":"Sun","sequence":"additional","affiliation":[{"name":"Department of Urology and Laboratory of Pelvic Floor Muscle Function Shenzhen Children\u2019s Hospital Shenzhen Guangdong China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhilin","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Urology and Laboratory of Pelvic Floor Muscle Function Shenzhen Children\u2019s Hospital Shenzhen Guangdong China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4085-0283","authenticated-orcid":false,"given":"Shoulin","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Urology and Laboratory of Pelvic Floor Muscle Function Shenzhen Children\u2019s Hospital Shenzhen Guangdong China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,1,19]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.2164\/jandrol.106.002436"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2016.01.023"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(01)62713-7"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0007-1226(81)80089-6"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/0090-4295(74)90025-9"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1159\/000020275"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41443-019-0177-0"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1745-7262.2008.00329.x"},{"key":"e_1_2_13_10_1","first-page":"151","article-title":"Functional results after operations of penile deviations: an institutional experience","volume":"179","author":"Vatne V","year":"1996","journal-title":"Scand. J. Urol. Nephrol. Suppl."},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(05)00063-7"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-002-0307-y"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.4103\/0974-7796.110005"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2016.05.098"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2006.12.012"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2012.07.011"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpurol.2016.02.014"},{"key":"e_1_2_13_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2005.11.059"},{"key":"e_1_2_13_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2018.03.019"}],"container-title":["International Journal of Urology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/iju.14800","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/iju.14800","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/iju.14800","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,25]],"date-time":"2023-08-25T23:00:15Z","timestamp":1693004415000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/iju.14800"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,1,19]]},"references-count":18,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2022,5]]}},"alternative-id":["10.1111\/iju.14800"],"URL":"https:\/\/doi.org\/10.1111\/iju.14800","archive":["Portico"],"relation":{},"ISSN":["0919-8172","1442-2042"],"issn-type":[{"type":"print","value":"0919-8172"},{"type":"electronic","value":"1442-2042"}],"subject":[],"published":{"date-parts":[[2022,1,19]]},"assertion":[{"value":"2021-11-05","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-01-04","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-01-19","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}