Choosing a technique for severe hypospadias

Arnaud, Alexis; Harper, Luke; Aulagne, M.B.; Michel, Jean‐Luc; Maurel, A.; Dobremez, E.; Fourcade, Laurent; Andriamananarivo, Lalatiana

doi:10.4103/0189-6725.91668

Cited by 9 publications

(1 citation statement)

References 24 publications

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“…[ 18 ] Of the three basic categories (tubularisation of the urethral plate, supplementation or substitution of the urethral plate with skin flaps, and urethral plate substitution with grafts) the most common form of primary repair is the urethral plate tubularisation. [ 14 19 20 ]…”

Section: Discussionmentioning

confidence: 99%

Hypospadias repair and outcome in Abuja, Nigeria: A 5-year single-centre experience

Aisuodionoe-Shadrach

Atim

Eniola

et al. 2015

Afr J Paediatr Surg

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Background:To determine the outcome of hypospadias repair in children.Patients and Methods:This was a retrospective study of all patients with hypospadias managed at the University of Abuja Teaching Hospital, Abuja, Nigeria from January 2009 to December 2013.Results:Twenty-four cases of hypospadias had corrective surgery during the 5-year period under review. Seventy-five percent of the patients (n = 18) were seen after the 1st year of life. There were two peaks of ages at corrective repair; 45.8% between age 1 and 3 years and 29.1% between age 5 and 10 years. The average age at time of surgery was 44.9 months. Distal hypospadias were more common (58.4%), followed by glanular (20.8%) and proximal (20.8%) hypospadias. Associated anomalies included chordee, maldescended testicles and inguinal hernia in 20.8%, 4.1% and 8.3% cases, respectively. Operative techniques were single-stage procedures in 79.1% of patients consisting of simple circumcision in two cases (10.5%), Mathieu's peri-meatal based flap in four cases (21%), meatal advancement and glanuloplasty incorporated in three cases (16%) and Snodgrass tubularised incised urethral plate tubularised incised plate in 10 cases (52.5%). The remaining 20.9% (n = 5) had multi-staged procedures. The most common post-operative complications were urethrocutenous fistula in nine patients (33.3%) and metal stenosis in 3 patients (12.5%).Conclusions:Our results show that hypospadia repair is froth with attendant high complications in our setting.

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Section: Discussionmentioning

confidence: 99%

Hypospadias repair and outcome in Abuja, Nigeria: A 5-year single-centre experience

Aisuodionoe-Shadrach

Atim

Eniola

et al. 2015

Afr J Paediatr Surg

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Pediatric Urological and Genital Surgery

Boucaut

Coventry

2013

Pediatric Surgery

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The relative risks and complications increase proportionately according to the site, size, and type and complexity of the problem being addressed within the chest and in relation to the age of the patient and other comorbidities. This is principally related to the surgical accessibility, ability to correct the problem, functional reserve, technical ease, and the ability to achieve correction of the problem.The main serious complications are bleeding and infection, which can be minimized by the adequate exposure, mobilization, technical care, and avoiding injury and hematoma formation. Infection is the main sequel of tissue injury and hematoma formation and may arise from preexisting infection or be newly acquired. This can lead to urinary infection and systemic sepsis . Although very rare in children, multisystem failure and death remain serious potential complications from urologic surgery and systemic infection.This chapter therefore attempts to draw together in one place the estimated overall frequencies of the complications associated with urological procedures, based on information obtained from the literature and experience. Not all patients are at risk of the full range of listed complications. It must be individualized for each patient and their disease process but represents a guide and summary of the attendant risks, complications, and consequences.With these factors and facts in mind, the information given in this chapter must be appropriately and discernibly interpreted and used.

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Intérêt de la technique de Koyanagi dans le traitement de l’hypospadias posterieur chez l’enfant

Youssef

Ksia

Fredj

et al. 2018

African Journal of Urology

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Choosing a technique for severe hypospadias

Abstract: In this particular setting, the postoperative complication rate is high. Nevertheless, the Koyanagi technique is appropriate, because its complications are easy to treat and there is always sufficient ventral tissue for the secondary operation, if necessary.

Cited by 9 publications

References 24 publications

Hypospadias repair and outcome in Abuja, Nigeria: A 5-year single-centre experience

Hypospadias repair and outcome in Abuja, Nigeria: A 5-year single-centre experience

Pediatric Urological and Genital Surgery

Intérêt de la technique de Koyanagi dans le traitement de l’hypospadias posterieur chez l’enfant

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