The final result was evaluated 2 years after the operation. Satisfactory results were achieved in 93.5 % with AUVB and in 96 % with the Lich-Gregoir procedure. The postoperative failure rate was 6.5 % for the AUVB and 4 % for the Lich-Gregoir operations. The recurrence rate was higher with AUVB (5 %) than with the Lich-Gregoir procedure (1.5 %), but postoperative stenosis was more frequent with the Lich-Gregoir procedure (2.5 %). CONCLUSIVE: Today, as the first operative method we prefer to employ the Lich-Gregoir procedure. If the result of the Lich-Gregoir procedure is unsatisfactory, we recommend the AUVB for the first and second recurrence operation. Finally, in cases of repeated VUR recurrence of postoperative stenosis, as the last operation we perform antireflux ureteroileocystoplasty with an intussuscepted segment of the ileum.
on the duplicated phallus, but it was quite short and attempts to obtain a retrograde study via this opening were unsuccessful. A right penectomy was performed and the small phallus was elliptically excised at its base, and the attenuated corporal bodies dissected proximally for a short distance and then suture-ligated (l " Fig. 2). The postoperative course was uncomplicated and the cosmetic result excellent.
References1 Aleem AA. Diphallia: a report of a case. J Urol 1973; 108: 357 2 Bhat HS, Sukumar S, Nair TP et al. Successful surgical correction of true diphallia, scrotal duplication, and associated hypospadias. J Pediatr Surg 2006; 41: E13 -E14 3 Cohen SJ. Diphallus with duplication of colon and bladder. Proc R Soc Med 1968; 61: 305 4 Djordjevic ML, Perovic SV. Complex penile joining in a case of wide penile duplication. J Urol 2005; 173: 587 -588 5 Gyftopoulus K, Wolffenbuttel KP, Nijman RJ.Clinical and embryologic aspects of penile duplications and associated anomalies.References ment of giant hydronephrosis in children.
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