A versatile two-stage hypospadias repair

Bracka, Aivar

doi:10.1016/s0007-1226(95)90023-3

Cited by 176 publications

(112 citation statements)

References 10 publications

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“…It is worthwhile mentioning that there was no mention of magnification in the Snodgrass series, whereas Bracka does not rely on magnification at all. [11,12] In our series we experienced one stricture and total fistula rate of 8.8%, 5.3% and 13% for one stage and two stage repairs respectively. The stricture was picked up by urethroscopy.…”

Section: Discussionmentioning

confidence: 69%

“…Snodgrass reported fistula rates at 13% in mid-shaft hypospadias and up to 37% in proximal shaft, depending on single or two layer closure and whether polyglactin or chromic was used. [11] The two stage procedure was popularized by Bracka, [12] and reports of a gross fistula rate of 5.7% and a stricture rate of 7%. It is worthwhile mentioning that there was no mention of magnification in the Snodgrass series, whereas Bracka does not rely on magnification at all.…”

Section: Discussionmentioning

confidence: 99%

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Hypospadias: an algorithm for repair with the aid of the microscope in 102 patients

Maher¹,

Chasapi²,

Dalal³

2017

PAR

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Section: Discussionmentioning

confidence: 69%

Section: Discussionmentioning

confidence: 99%

Hypospadias: an algorithm for repair with the aid of the microscope in 102 patients

Maher¹,

Chasapi²,

Dalal³

2017

PAR

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“…The reason for that is that there is significant psychological morbidity, including aberrant behaviour, guilt, and gender identity confusion with late repair [4]. The reason for Bracka to suggest delay of treatment until 3 years of age is that the child would be out of nappies and more cooperative [2]. Long term complications like fistula, meatal stenosis, stricture, diverticula and hair in the urethra.…”

Section: Discussionmentioning

confidence: 99%

“…American academy of paediatrics (1996) recommended early repair of hypospadias. While Bracka recommends age of 3 years for improved cooperation of the patient as the child would be more mature [2]. It is important to prevent complications in the first operation as managing complications is difficult with increased possibility of several surgeries to correct the complications [3].…”

Section: Introductionmentioning

confidence: 99%

Hypospadias Repair and Its Complications at the Plastic Surgery Department, Khoula Hospital

Hashish¹,

Balushi²,

Haridi³

et al. 2017

MPS

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This study reviewed the complications associated with hypospadias repair surgery done at Khoula hospital, Oman during the period of January, 2010 to October, 2015. During this period, 178 cases were operated. Snodgrass and Bracka's techniques were the most used techniques. Complications were noted in 16 out of 82 patients operated using Snodgrass technique and 2 out 10 patients operated via Bracka's technique. This study helped in shifting the practice towards the technique associated with the lowest complications. As a result we adopted for our practice MAGPI for glandular hypospadias, Snodgrass for any type of hypospadias without chordee and Bracka's two stages repair for hypospadias with chordee.

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“…In 1995, Bracka conducted his study on managing complications after hypospadias repair and he concluded that a two-stage repair by splitting the glans and lining it with penile skin or BM grafts was extremely adaptable and successful (7).…”

Section: Discussionmentioning

confidence: 99%

A Two-Stage Buccal Mucosal Graft (BMG) for Managing Recurrent Proximal Penile Hypospadias in Pediatric & Adolescent Populations

El-Sheikh¹,

Fayad²

2011

OJU

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Introduction: The presence of a recurrent proximal penile hypospadius represents a surgical challenge to the urologist due to the presence of excessive scarring and fibrosis of the tissues. This problem is more pronounced in circumcised patients, in whom there is no enough skin for one stage procedures. Buccal mucosal grafts represent a good surgical option. The aim of this study was to evaluate the results of two stages buccal mucosal urethroplasty in pediatric & adolescent patients, presenting with recurrent proximal penile hypospadias who are circumcised. Methods: Thirty seven pediatric & adolescent patients underwent two stages buccal mucosal urethroplasty for recurrent proximal penile hypospadius. In all cases the buccal graft was placed dorsally followed by the second stage closure after 6 months. Results: The mean age was 17.7 (14-20) years. With a mean follow-up of 28.3 months, 33 patients (89.2%) had a final successful outcome. Of the 4 cases that were considered as failure, 3 patients (8.1%) developed urethra-cutaneous fistula that required closure after 3 months. The remaining patient developed meatal stenosis. Conclusion: Although buccal mucosal urethroplasty is a two staged procedure, it is feasible option for pediatric & adolescent patients presenting with recurrent proximal penile hypospadius, who had no skin available for penile flaps, with a success rate approaching 89.2%.

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A versatile two-stage hypospadias repair

Cited by 176 publications

References 10 publications

Hypospadias: an algorithm for repair with the aid of the microscope in 102 patients

Hypospadias: an algorithm for repair with the aid of the microscope in 102 patients

Hypospadias Repair and Its Complications at the Plastic Surgery Department, Khoula Hospital

A Two-Stage Buccal Mucosal Graft (BMG) for Managing Recurrent Proximal Penile Hypospadias in Pediatric & Adolescent Populations

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A versatile two-stage hypospadias repair

Cited by 176 publications

References 10 publications

Hypospadias: an algorithm for repair with the aid of the microscope in 102 patients

Hypospadias: an algorithm for repair with the aid of the microscope in 102 patients

Hypospadias Repair and Its Complications at the Plastic Surgery Department, Khoula Hospital

A Two-Stage Buccal Mucosal Graft (BMG) for Managing Recurrent Proximal Penile Hypospadias in Pediatric &amp; Adolescent Populations

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Product

Resources

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A Two-Stage Buccal Mucosal Graft (BMG) for Managing Recurrent Proximal Penile Hypospadias in Pediatric & Adolescent Populations