Impact of @entity546 and proximal ventral dissection on curvature correction in XXXX with @entity4094 .

@entity1 @entity4094 @entity2650 @entity43928 @entity546
INTRODUCTION: @entity546 is an important step in orthoplasty. Although its role in correcting mild curvature in distal and midshaft @entity2650 has been previously reported, its impact on @entity43928 ( @entity43928 ) correction in proximal defects warrants further investigation. Therefore, we sought to document the effect of degloving and proximal urethral dissection on @entity43928 correction in @entity1 with @entity4094 . METHODS: We retrospectively reviewed the records of 137 @entity1 who underwent @entity4094 repair between 1998 and 2006. @entity43928 , defined as mild (<30%), moderate (30%-45%), and severe (>45%), was recorded before @entity546 and after erection test. Percent improvement in @entity43928 and need for further treatment (beyond degloving and proximal dissection) based on preoperative degree of curvature were assessed. ANOVA test was used to compare improvement among the 3 groups. RESULTS: Mean age at repair was 14 months (range: 6-24). @entity546 associated with proximal urethral dissection when necessary was responsible for the improvement in the degree of curvature in 7 of 9 (77%) @entity1 with mild @entity43928 , 23 of 44 (52%) with moderate and 35 of 84 (40%) with severe @entity43928 . Additionally, degloving alone was sufficient for @entity43928 correction in 7 of 9 (77%) mild cases, 14 of 44 (30%) moderate and only 2 of 84 (2%) severe cases. The difference among these 3 groups was statistically significant (p < 0.001). CONCLUSIONS: @entity546 alone can correct @entity43928 . The percentage of improvement depends on the preoperative degree of curvature, with severe @entity43928 cases showing the least improvement.
