Posterior Hypospadias Repair: A New Technical Approach

Montfort, G; Bretheau, D; Benedetto, Vincenzo Di; Bankolé, R

doi:10.1159/000474741

Cited by 19 publications

(4 citation statements)

References 7 publications

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“…Sadlowski et al extended tubularisation of the intact plate to the proximal part of the glans 3 . Firlit described tubularisation of the intact urethral plate up to the tip of the glans 4 .The same procedure of tubularised intact urethral plate upto the glans tip was reported by Montfort et al 5 . These authors reported excellent functional and cosmetic results.Recently tubularised incised plate (TIP) urethroplasty is most commonly used hypospadias repair technique especially for distal hypospadias.…”

Section: Introductionmentioning

confidence: 84%

Comparison between tubularisation of an intact and laterally augmented urethral plate urethroplasty and tubularised incised plate (TIP) urethroplasty for hypospadias repair

Shaheen,

Biswas,

Alam

2024

J. paediatr. surg. Bangladesh

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Objectives: The aim of this study was to compare the outcome of hypospadias repair by tubularisation of an intact and laterally augmented urethral plate urethroplasty and TIP urethroplasty. Methods: This prospective comparative study was conducted from July 2018 to January 2020 and included 35 patients with primary distal and mid penile hypospadias. All had urethral plate widths of 8–10 mm. Exclusion criteria were mega meatus intact prepuce, previous repair, circumcision, urethral plate of >10 mm or <8 mm in diameter, chordee >30°. In Group A underwent tubularisation of an intact and laterally augmented urethral plate urethroplasty and in Group B underwent tubularised incised-plate (TIP) urethroplasty. The follow up period was 06 months. Results: The success rate without any complication was 88.89% and 76.48% in Group A and B respectively. Meatal stenosis occurred 0% and 11.76% in Group A and B respectively. Wound dehiscence rate was 5.55% and 5.88% in Group A and B respectively. Urethrocutaneous fistula occurred 5.55% and 5.88% in Group A versus Group B. Overall complication occurred 11.11 in Group A and 23.52% in Group B. Conclusion: The outcome of tubularisation of intact and laterally augmented urethral plate urethroplasty was better than TIP urethroplasty. Journal of Paediatric Surgeons of Bangladesh (2019) Vol. 10 (1 & 2): 32-36

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Section: Introductionmentioning

confidence: 84%

Comparison between tubularisation of an intact and laterally augmented urethral plate urethroplasty and tubularised incised plate (TIP) urethroplasty for hypospadias repair

Shaheen,

Biswas,

Alam

2024

J. paediatr. surg. Bangladesh

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“…Thus a few complications that arise from the use of other tissues, as the preputial skin graft, bladder mucosa, penile/scrotal skin (due to difference in the nature of these tissues from urethral skin) are avoided [7,8,12,13]; the commonest being, the stenosis at the junction of the anstomosis, meatal stenosis, urethral diverticulum formation, neourethral dilatation, etc., are less likely to occur with the application of this procedure. The only significant complications encountered in our series were meatal stenosis (n = 2) and glanular dehiscence (n = 2) in our earlier patients that were circumvented mainly by using no.…”

Section: Discussionmentioning

confidence: 99%

Is tubularization of the mobilized urethral plate a better alternative to tubularization of an incised urethral plate for hypospadias repair?

Ratan

Rattan

2008

Pediatr Surg Int

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“…More proximal hypospadias, with associated chordee that is more severe, presents a greater challenge. There have been many innovations initiated by Hodgson [2], Devine and Horton [3], Duckett [4,5], Monfort et al [6,7], and Mollard and Mure [8], to name a few, with the aim of correcting proximal hypospadias in one stage. However, the experience of many with these innovations has been mixed.…”

Section: Introductionmentioning

confidence: 99%

“…Monfort et al [6,7] and Mollard and Mure [8] pioneered preservation of the urethral plate in children with proximal hypospadias and severe chordee, arguing that dissection of tissue under the plate would eliminate chordee satisfactorily. A preputial onlay could then be applied.…”

Section: Introductionmentioning

confidence: 99%

Two-stage repair for proximal hypospadias: A reappraisal

Greenfield

2003

Curr Urol Rep

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Great advances have been made in surgery for the correction of hypospadias. Proximal hypospadias remains the greatest challenge, but, despite many innovations and much progress, surgery can fail. Many authorities have introduced single-stage techniques, which have the purported advantage of correcting the defect with minimal hospitalization and family inconvenience. However, the wider published experience with these approaches would suggest that the ideal single-stage procedure has yet to be devised. A substantial number of children undergoing a single-stage procedure will have to undergo further surgery. A small, but irreducible number of patients will be rendered hypospadias "cripples." A number of these children will be dissatisfied as adults because of cosmetic or functional deficiencies. A two-stage approach for correction of proximal hypospadias and severe chordee remains the most credible and reliable solution for many of these patients. Pediatric urologists should maintain familiarity with these techniques and continue to advocate them for a select group of patients.

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Posterior Hypospadias Repair: A New Technical Approach

Cited by 19 publications

References 7 publications

Comparison between tubularisation of an intact and laterally augmented urethral plate urethroplasty and tubularised incised plate (TIP) urethroplasty for hypospadias repair

Comparison between tubularisation of an intact and laterally augmented urethral plate urethroplasty and tubularised incised plate (TIP) urethroplasty for hypospadias repair

Is tubularization of the mobilized urethral plate a better alternative to tubularization of an incised urethral plate for hypospadias repair?

Two-stage repair for proximal hypospadias: A reappraisal

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