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

Youssef, Sabrine Ben; Ksia, Amine; Fredj, Manel Ben; Messaoud, M. Ben; Laamiri, R.; Belhassen, S.; Mosbahi, Sana; Bouzzaffara, B.; Sahnoun, Lassâad; Mekki, Mongi; Belguith, M.; Nouri, Abdellatif

doi:10.1016/j.afju.2017.09.003

Cited by 3 publications

(1 citation statement)

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“…The Onlay technique is currently considered the most reliable in posterior hypospadias with a lower complication rate. Other techniques can be used, such as that of Koyanagi , but with a higher rate of complications [19]. Even the use of estrogen preoperatively does not significantly reduce complications after treatment for hypospadias.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the Management of Hypospadias at Albert Royer Children’s Hospital in Dakar

2023

J Surg

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Purpose: To describe the management of hypospadias and to evaluate its results in our practice. Methods:We carried out a retrospective, descriptive study during the period from April 1 st 2016 to March 31 st , 2021. Were included, all the children who had a urethroplasty for hypospadias. There were 58 files. We studied the epidemiological aspects, the surgical techniques as well as the short-, mid-and long-term complications. Results:The hypospadias was anterior in 28 cases (48.28%), mid in 18 cases (31.03%), and posterior in 12 cases (20.69%). The mean age of our patients at the time of surgery was 3 years, ranging from 14 months to 8 years.The surgical techniques of Duplay (36%), Onlay (13.8%) and Mathieu (17%) were the most used. A two-stage surgery was performed in 3 patients. In all our patients, a trans-urethral stent catheter was placed. The mean duration of urine drainage was 4 days with extremes of 2 days and 10 days. Revision surgery was necessary in 26 patients, i.e. 54.16%. After a mean follow-up of 10 months, 27% of patients presented a complication, half of which was a urethro-cutaneous fistula. The results were considered good in 59% of cases. Conclusion:The results of hypospadias treatment have improved in recent years despite still significant morbidity.

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Section: Discussionmentioning

confidence: 99%