Acute Postoperative Complications of Hypospadias Repair

Bhat, Amilal

doi:10.1007/978-981-16-8395-4_20

Cited by 4 publications

(6 citation statements)

References 47 publications

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“…The majority of early postoperative problems are caused by incorrect surgical techniques and may be readily avoided via improved procedure planning and tissue management. These problems include edema, hematoma development, wound dehiscence, flap decay, and fistula formation [73]. To prevent hematoma development, optimal hemostasis must be achieved.…”

Section: Postoperative Complicationmentioning

confidence: 99%

Hypospadias: A Comprehensive Review Including Its Embryology, Etiology and Surgical Techniques

Halaseh¹,

Halaseh²,

Ashour³

2022

Cureus

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Hypospadias is among the most prevalent urogenital malformations in male newborns. It is characterized by the displacement of the urethral meatus to the ventral side of the penis, an aberrant ventral curve of the penis referred to as "chordee," and an abnormally arranged foreskin with a "hood" found dorsally and lacking foreskin ventrally. Patients may have an extra genitourinary abnormality based on the area of the lesion. In around 70% of cases, the urethral meatus is positioned distally to the shaft, representing a milder form of the disease. The remaining 30% of cases are located proximally, are more complicated, and require further evaluation. Although the origin of hypospadias is mostly obscure, several suggestions exist about genetic susceptibility and hormonal factors. The objective of hypospadias restoration is to restore aesthetic and functional regularity, and surgery is currently advised at a young age, mostly between six and 18 months. At any age, hypospadias can be repaired with an equivalent risk of complications, functional outcomes, and aesthetic outcomes. However, the best age of treatment is still undetermined. Even though the long-term effects on appearance and sexual function are usually good, males may be less likely to make the first move after rectification. Also, people who have hypospadias treated are twice as likely to have problems with their lower urinary tract. These problems can last for years after the initial repair.

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Section: Postoperative Complicationmentioning

confidence: 99%

Hypospadias: A Comprehensive Review Including Its Embryology, Etiology and Surgical Techniques

Halaseh¹,

Halaseh²,

Ashour³

2022

Cureus

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“…The rate of post-operative complications often depends on the degree of hypospadias, technique of repair, and surgeon expertise. (35) The major complications following hypospadias repair are described next, with other reported complications listed in…”

Section: Operative Complicationsmentioning

confidence: 99%

“…(36) Infections may lead to wound dehiscence, or breakdown, necessitating a re-do operation. (35) Other causes of wound dehiscence include excessive wound tension, inappropriate suture material, and diminished graft or flap blood supply. (1)…”

Section: Wound Infection and Dehiscencementioning

confidence: 99%

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Comparing the outcomes of tubularized incised plate urethroplasty and dorsal inlay graft urethroplasty in children with hypospadias: a systematic review and meta-analysis

Alshafei

Cascio

Boland

et al. 2020

Journal of Pediatric Urology

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“…4 Among the complications, the most notorious and frustrating one is the urethrocutaneous fistula. 5 To overcome this frustrating post-operative complication, more than 350 procedures have been developed by the hypospadiologist but none become the ideal one to avoid this notorious complication like urethrocutaneous fistula. 6 Among the recently developed procedures, the Snodgrass technique become a popular procedure especially for mid and distal penile hypospadias as it has a low complication rate (7-26%).…”

Section: Introductionmentioning

confidence: 99%

Comparative study between snodgrass urethroplasty and modified snodgrass urethroplasty for distal penile hypospadias in terms of post-operative urethrocutaneous fistula formation

Akan

Mondal²,

Mojmdar³

et al. 2022

Int J Contemp Pediatr

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Background: Hypospadias is a congenital defect involving the male urethra characterized by the absence of urethral meatus at its normal position. This anomaly is usually associated with the ventrally deficient but dorsally hooded skin. In some cases, the penis is ventrally curved. Surgery is the option for this defect. So many procedures have been developed but none is free from the development of urethrocutaneous fistula. Now-a-days, the popular Snodgrass procedure is widely practiced but still fistula occurs. Many factors are thought to be responsible for it. The most important one is defective ventral penile skin which is deficient of vascular and collagen tissues. To minimize these deficient factors, a dorsal vascular preputial flap is transferred ventrally (modified) to reduce fistula formation further. A comparative study was disigned to determine the role of dorsal vascular flap.Methods: The prospective observational study was conducted in the department of pediatric surgery, Bangabandhu Sheikh Mujib medical university, Dhaka, Bangladesh since February 2017 to May 2021.Results: A total of 40 patients with distal penile hypospadias were included in this study. They were divided into Group A and group B, 20 for each. Snodgrass procedure was for Group A and the modified Snodgrass procedure was done for group B. The outcome of both the groups was determined in terms of fistula formation. Seven patients in group-A and one patient in group B developed fistula. The results were analyzed and were found statistically significant.Conclusions: Modified Snodgrass urethroplasty has a better outcome.

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Acute Postoperative Complications of Hypospadias Repair

Cited by 4 publications

References 47 publications

Hypospadias: A Comprehensive Review Including Its Embryology, Etiology and Surgical Techniques

Hypospadias: A Comprehensive Review Including Its Embryology, Etiology and Surgical Techniques

Comparing the outcomes of tubularized incised plate urethroplasty and dorsal inlay graft urethroplasty in children with hypospadias: a systematic review and meta-analysis

Comparative study between snodgrass urethroplasty and modified snodgrass urethroplasty for distal penile hypospadias in terms of post-operative urethrocutaneous fistula formation

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