Comparative Analysis of Tubularized Incised Plate Versus Onlay Island Flap Urethroplasty for Penoscrotal Hypospadias

Braga, Luis H.; Salle, João L. Pippi; Lorenzo, Armando J.; Skeldon, Sean C.; Davé, Sumit; Farhat, Walid A.; Khoury, Antoine E.; Bägli, Darius

doi:10.1016/j.juro.2007.05.170

Cited by 118 publications

(80 citation statements)

References 20 publications

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“…In agreement with the findings of Braga et al, there was no statistically significant difference in the complication rate in relation to the performed technique [27]. However, a significantly higher complication rate was encountered in patients with scrotal (23.3%) and perineal (100%) hypospadias and in patients requiring scrotoplasty (26.1% versus 12.1% in patients with normal scrotum).…”

Section: Discussionsupporting

confidence: 90%

Outcome of proximal hypospadias repair using three different techniques

Moursy

2010

Journal of Pediatric Urology

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Section: Discussionsupporting

confidence: 90%

Outcome of proximal hypospadias repair using three different techniques

Moursy

2010

Journal of Pediatric Urology

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“…The proportion of patients who experience complications after undergoing hypospadias repair as an infant is reportedly 2-15% [1,[11][12][13][14][15]. However, this rate varies depending on the degree of hypospadias and the surgical technique used.…”

Section: Discussionmentioning

confidence: 99%

Outcome of hypospadias repair in toilet-trained children and adolescents

et al. 2012

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“…The authors concluded there is a spontaneous normalization of the urinary flow in boys after TIP repair, but the need for long-term follow up beyond puberty is required. 22 Braga et al 23 performed comparative analysis between two groups of patients with penoscrotal hypospadias who underwent either tubularized incised plate or transverse island flap onlay urethroplasty and reached the same conclusion. They retrospectively reviewed 75 consecutive patients with penoscrotal hypospadias.…”

Section: Voiding Difficulties Following Hypospadias Repairmentioning

confidence: 92%

Outcome of pediatric hypospadias repair in adulthood

Chertin

Prat²,

Shenfeld³

2010

RRU

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Purpose:To review the evolution of the technique of hypospadias repair. Methods: A search of Pubmed, Medline and the Journal of Pediatric Urology was performed, and papers dealing with surgical techniques for hypospadias repair were critally reviewed. Special emphasis was given to papers on the effects in the long term of hypospadias repair on voiding and sexual dysfunction. Results:The techniques for hypospadias repair have evolved over the years. The most popular technique now is tubularized incised plate urethroplasty. Long-term results with the use of the new techniques of the hypospadias repair in terms of voiding and sexual problems should be addressed. Conclusion:There is a need for valid studies on the outcomes of hypospadias repair in adults that were performed in childhood in terms of cosmetic appearance, voiding and sexual performance. Keywords: hypospadias, hypospadias surgery, adult, later outcome Surgical techniques for hypospadias repairHypospadias may be defined as a ventral penile hypoplasia with some associated anomalies such as the following: opening of the meatus below the tip of the penis, ventral penile curvature (chordee) and a hooded foreskin with excessive dorsal part. The incidence of hypospadias in the Western countries has been in rise tremendously and is approximately 1 to 150,300 male births. 1The first description of urethral hypoplasia and hypospadias malformation is related to Celsius and Galen, and dates as far back as to the first and second centuries AD.2 The renaissance of hypospadias surgery was established by Thiersch 3 and Duplay 4 during the second part of the 19th century. Since then, hundreds of techniques have evolved, mostly to answer the challenge of creating a functional neourethra. Hypospadias surgical procedure is characterized by three steps: 1. Correction of chordee -straightening of the penis; 2. Urethroplasty -reconstruction of the missing part of the urethra; 3. Restoration of the tissues forming the ventral radius of the penis -the glans, corpus spongiosum, and skin, which finally will lead to the normal cosmetic appearance of the penis. In the majority of cases simple degloving of the penile skin may solve the penile curvature. If chordee persists after penile degloving, dorsal corporal plication is performed in order to straighten the penis. Many surgeons prefer to avoid freeing the urethral plate in order to avoid injury to the blood supply. The authors have previously Research and Reports in Urology downloaded from https://www.dovepress.com/ by 34.214.212.150 on 13-May-2018 For personal use only.

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Comparative Analysis of Tubularized Incised Plate Versus Onlay Island Flap Urethroplasty for Penoscrotal Hypospadias

Cited by 118 publications

References 20 publications

Outcome of proximal hypospadias repair using three different techniques

Outcome of proximal hypospadias repair using three different techniques

Outcome of hypospadias repair in toilet-trained children and adolescents

Outcome of pediatric hypospadias repair in adulthood

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