A new algorithm for primary hypospadias repair based on tip urethroplasty

Sözübir, Selami; Snodgrass, Warren

doi:10.1016/s0022-3468(03)00261-6

Cited by 62 publications

(63 citation statements)

References 12 publications

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“…Various surgical techniques were developed to achieve these objectives 2 . Despite the versatility and the obvious surgical advances of different techniques of hypospadias repair, urethrocutaneous fistula is the most common complication, the reported incidence being as high as 5% --15% 3,4 . The incidence of which has been used to evaluate the success of hypospadias repair.…”

Section: Introductionmentioning

confidence: 99%

Limited Urethral Mobilization Technique in Distal Hypospadias Repair : An Overview

Chakraborty

Majumdar

Zahid

et al. 2017

Chatt Maa Shi Hosp Med Coll J

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Background: Fistula formation is the most common complication with various rates among different techniques of hypospadias repair. The urethral advancement as an one stage technique for repair of hypospadias is considered a good technique. As no new urethral tube is constructed there is no risk of fistula. We assess the outcomes of the Limited Urethral Mobilization (LUM) technique in distal hypospadias repair. Methods: Our study included 20 patients aged upto 12 years who were treated with Limited urethral mobilization technique for distal hypospadias in Shaheed Suhrawardy Medical College Hospital from December 2014 to December 2015. The urethra proximal to the meatus was mobilized for a distance sufficient to allow it to reach the glans tip without tension. Then the urethra was placed in the glanular bed and glanular reconstruction was performed. Results: Three-fold urethral mobilization was sufficient for construction of tension-free urethra-glanular anastomosis. Cosmetically normal looking circumcised penis with ventrally slit meatus achieved in all but one subcoronal case where the most distal of the glans approximation sutures disrupted leading to a minor detachment in the glans. The minor complications includes preputial edema in one patient, two patients had wound infection, one had meatal stenosis which was treated with gentle dilatations. Postoperative urethro cutaneous fistula, retraction of the urethral meatus or recurrent chordee were not observed. Conclusion: Distal hypospadias repair with the LUM technique can be effective with satisfactory cosmetic and functional results. There is no chance for development of urethro cutaneous fistula, a major postoperative complication of other surgical techniques of creating a neourethra. Postoperative management is simple and a brief hospital stay is sufficient.

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Section: Introductionmentioning

confidence: 99%

Limited Urethral Mobilization Technique in Distal Hypospadias Repair : An Overview

Chakraborty

Majumdar

Zahid

et al. 2017

Chatt Maa Shi Hosp Med Coll J

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“…The dartos flaps have been raised from either dorsal or ventral dartos and sometimes the dorsal flap have Selami Sozubir and Warren Snodgrass buttonholed and transposed the harvested dorsal dartos flap to the ventrum for neourethra coverage and noted 5% fistulae in distal variety 11 . A ventrally based dartos flap was also used to reduce fistula formation 12 .Furthermore, reports of having used dorsal double dartos flaps have proven to be more superior than single rotational dorsal dartos flap with the least complications of fistulae and penile torsion 3,5 .…”

Section: Discussionmentioning

confidence: 99%

A Comparative Study to Evaluate the Outcome of Double Dartos Flap in Tubularized Incised Plate Urethroplasty for Distal Hypospadias Repair

Chakraborty

Majumdar

Zahid

et al. 2015

J. paediatr. surg. Bangladesh

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Abstract:Background/purpose: The tubularized incised plate urethroplasty (Snodgrass technique) presents the procedure of choice for distal hypospadias repair. Fistula formation is the most common complication with various rates. Avoiding overlap of suture lines in the Snodgrass repair is critical to minimize fistula formation through second-layer coverage of the neourethra. We compared the outcome of double-layer dartos flaps to flapless procedure in the tubularized incised plate urethroplasty for distal hypospadias repair to assess the effectiveness of dartos flap in this method.

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“…Some concerns have been always raised regarding meatal and neourethral complications (i.e., meatal stenosis and fistula formation) and the need for regular urethral dilations after TIP procedures; these complications would be potentially more prominent in patients with a flat and narrow urethral plate [11,12].…”

Section: Discussionmentioning

confidence: 99%

Combined Use of the Mathieu and Incised Urethral Plate Techniques for Repair of Distal Penile Hypospadias

2013

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Though both the Mathieu and incised urethral plate techniques are individually described for single-stage repair of distal penile hypospadias, each has its own shortcomings. We describe the combination of the two techniques by taking their advantages and reducing their limitations. Thirteen patients belonging to the age group of 3-22 years with distal penile hypospadias and mild chordee were operated by this technique with a mean follow-up of 8 months. One patient had urethrocutaneous fistula, and another patient had partial skin necrosis which healed spontaneously without fistula. Both of these complications occurred in adult patients. None developed urethral stenosis, and the cosmesis of the glans was excellent in all cases. This technique is very helpful in patients having small flat glans and shallow urethral groove.

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A new algorithm for primary hypospadias repair based on tip urethroplasty

Cited by 62 publications

References 12 publications

Limited Urethral Mobilization Technique in Distal Hypospadias Repair : An Overview

Limited Urethral Mobilization Technique in Distal Hypospadias Repair : An Overview

A Comparative Study to Evaluate the Outcome of Double Dartos Flap in Tubularized Incised Plate Urethroplasty for Distal Hypospadias Repair

Combined Use of the Mathieu and Incised Urethral Plate Techniques for Repair of Distal Penile Hypospadias

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