Outcome of proximal hypospadias repair using three different techniques

Moursy, Essam

doi:10.1016/j.jpurol.2009.04.013

Cited by 36 publications

(30 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Two studies (2014 Xu [20] and 2010 Moursy [21]) reported higher total complication rate of TVIF onlay than TIP, while the other four studies [19], [22]–[24] derived the opposite results. But no study showed significant difference in total complication rate between two techniques.…”

Section: Resultsmentioning

confidence: 97%

See 1 more Smart Citation

Comparison of Transverse Island Flap Onlay and Tubularized Incised-Plate Urethroplasties for Primary Proximal Hypospadias: A Systematic Review and Meta-Analysis

et al. 2014

View full text Add to dashboard Cite

PurposeThis meta-analysis was conducted to compare postoperative outcomes between transverse island flap (TVIF) onlay and tubularized incised-plate (TIP) urethroplasties for primary proximal hypospadias.Materials and MethodsA comprehensive literature search updated to 21st May 2014 was carried out for relevant studies. After literature identification and data extraction, odds ratio (OR) with 95% confidential interval (CI) was calculated to compare postoperative complication rate between TVIF onlay and TIP. Meta-regression and subgroup analyses were applied to find potential affective factors.ResultsA total of 6 studies including 309 patients receiving TVIF onlay and 262 individuals subjected to TIP met inclusion criteria. The synthetic data suggested that TVIF onlay and TIP were comparable in terms of total complication rate (OR 0.85, 95% CI 0.56–1.30, p = 0.461), fistula (OR 0.68, 95% CI 0.38–1.21, p = 0.194), recurrent curvature (OR 1.16, 95% CI 0.43–3.12, p = 0.766), dehiscence (OR 0.95, 95% CI 0.33–2.74, p = 0.920), diverticulum (OR 1.90, 95% CI 0.53–6.78, p = 0.321), meatal stenosis (OR 0.74, 95% CI 0.20–2.77, p = 0.651) and urethral stricture (OR 1.49, 95% CI 0.41–5.50, p = 0.545), without significant heterogeneity for each comparison group. Meta-regression and subgroup analyses revealed no significant findings. One-way sensitivity analysis indicated that the results were stable. No publication bias was detected using both funnel plot and Egger’s test. Also, there were no obvious differences observed in cosmetic and functional outcomes.ConclusionsThis meta-analysis suggests that TVIF onlay and TIP urethroplasties are clinically equivalent. Given the inherent limitations of included studies, this conclusion should be interpreted with caution and wait to be confirmed by more well-designed randomized controlled trials with high quality in the future.

show abstract

Section: Resultsmentioning

confidence: 97%

“…Four studies [19]–[21], [24] described each separate complication in detail, while the remaining two studies (2013 Castagnetti [22] and 2012 Prat [23]) still lacked sufficient complication data after contacting the corresponding authors.…”

Section: Resultsmentioning

confidence: 99%

Comparison of Transverse Island Flap Onlay and Tubularized Incised-Plate Urethroplasties for Primary Proximal Hypospadias: A Systematic Review and Meta-Analysis

et al. 2014

View full text Add to dashboard Cite

show abstract

“…Balanitis xerotica obliterans, meatal stenosis, prolapsus, retraction, tissue defect, glans necrosis, glans dehiscence, figure distractions are the reported complications of glans penis. Other complications are vesicosphincteric dyssynergy, bad cosmesis and urinary flow disorders [1][2][3][4][5].…”

Section: Discussionmentioning

confidence: 99%

“…Hypospadias occurs one in 300 births [1,2]. There are more than 250 manuscripts published in a year concerning this common congenital anomaly and more than 400 techniques have been described [2].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

A Complication in Hypospadias Surgery Due to Anchoring Suture

et al. 2015

View full text Add to dashboard Cite

The complication rates are still 1-90% both in proximal and distal hypospadias regardless of the surgeon's experience and the usage of most developed techniques. The literature survey revealed few complications of glans penis including meatal stenosis, prolapsus and retraction. Despite our literature survey, we could not find any article concerning the permanent scar tissue at the dorsal part of glans following hypospadias surgeries. A new complication can be added to these, concerning glans which is the formation of postoperative scar tissue as a reaction to suture material used in traction, stent anchoring or both. The aim of this paper is to demonstrate four cases which had glanular scar due to traction suture following the surgical procedures for hypospadias repair.Keywords: Children, complication, glans penis, hypospadias, scar ÖzetProksimal ve distal hipospadiyas onarımlarında cerrahın deneyimi ve kullanılan tekniklerdeki gelişmeye karşın komplikasyon oranı hala %1-90 arasında değişmektedir. Literatüre bakıldığında; glans penis ile ilgili meatal darlık, prolapsus ve retraksiyonu içeren az sayıda komplikasyondan söz edilmiştir. Yapılan taramada; hipospadiyas cerrahisi sonrasında tanımlanmış glansın dorsal kısmı ile ilgili herhangi bir yayına rastlanmadı. Glansda askı, stentin tesbitlenmesi ya da her ikisinin kullanımı nedeni ile glansdan geçilen rekraksiyon dikişine bağlı gelişen ameliyat sonrası skar bu komplikasyonlara eklebilir. Bu çalışmanın amacı; hipospadiyas cerrahisi sırasında kullanılan askı dikişine bağlı glansda skar gelişen dört hastanın sunulmasıdır.

show abstract

Modifications in Inner Prepucial Flap Repair of Hypospadias

Bhat

2022

Hypospadiology

View full text Add to dashboard Cite

Outcome of proximal hypospadias repair using three different techniques

Cited by 36 publications

References 31 publications

Comparison of Transverse Island Flap Onlay and Tubularized Incised-Plate Urethroplasties for Primary Proximal Hypospadias: A Systematic Review and Meta-Analysis

Comparison of Transverse Island Flap Onlay and Tubularized Incised-Plate Urethroplasties for Primary Proximal Hypospadias: A Systematic Review and Meta-Analysis

A Complication in Hypospadias Surgery Due to Anchoring Suture

Modifications in Inner Prepucial Flap Repair of Hypospadias

Contact Info

Product

Resources

About