Single-stage dorsal inlay full-thickness genital skin grafts for hypospadias reoperations: Extended follow up

Schwentner, Christian; Seibold, J.; Colleselli, Daniela; Alloussi, S.; Schilling, David; Stenzl, Arnulf; Radmayr, Christian

doi:10.1016/j.jpurol.2010.01.016

Cited by 17 publications

(8 citation statements)

References 34 publications

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“…The incised bed of the UP heals by granulation and subsequent fibrous, which has been proposed to be a contributing factor for the development of urethral strictures in cases reported occasionally in the literature [1], [13], [14]. Similarly development of meatal stenosis has been attributed to distal extension of the MIUP into the glans, which often prevents reconstruction of a NM at the tip [1], [3], [4], [13], [14]. Grafting allows immediate coverage with epithelium and minimises the fibrotic reaction in the incised UP bed [1], [2], [15], [16].…”

Section: Discussionmentioning

confidence: 99%

Grafted tubularised incised-plate urethroplasty: An objective assessment of outcome with lessons learnt from surgical experience with 263 cases

Gupta

Yadav

Alanzi

et al. 2016

Arab Journal of Urology

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ObjectiveSnodgrass urethroplasty remains the preferred technique in primary distal hypospadias but development of meatal stenosis often limits distal extension of the midline incision of the urethral plate (MIUP), which remains a limiting factor in reconstructing an apical neomeatus (NM). We here-in assess the cosmetic and functional outcome with distal extension of the MIUP in grafted tubularised incised-plate urethroplasty (G-TIP) repair.Patients and methodsThis prospective study included the surgical experience of 263 cases of primary hypospadias operated upon between 2012 and 2015. The G-TIP technique included standard steps of Snodgrass urethroplasty, including degloving and harvesting of glans wings, followed by MIUP that was extended distally beyond the margins of the urethral plate (UP) into the glans. The incised bed was grafted with a free preputial skin graft and fixed to the bed with polydioxanone 7-0 suture. The UP was tubularised and the suture line reinforced with a Dartos flap. The urethral catheter was removed at 7–10 days after the repair and the outcome was assessed at follow-up using the Hypospadias Objective Scoring Evaluation (HOSE) system.ResultsAn apical NM was achieved in 96% of the patients with a 3.7% incidence of urethrocutaneous fistula. The presence of suture tracks and graft at the margins of the NM were seen in the initial 4% and 5% of cases, respectively. Acceptable cosmetic results, with objective HOSE scores of >14, were achieved in 96% of cases.ConclusionThe G-TIP repair is a straightforward and feasible technique facilitating reconstruction of an apical NM, with an optimum outcome based on HOSE scoring. However, multicentre data are needed for undertaking comparative analysis and to assess the universal applicability of this technique in primary hypospadias.

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Section: Discussionmentioning

confidence: 99%

Grafted tubularised incised-plate urethroplasty: An objective assessment of outcome with lessons learnt from surgical experience with 263 cases

Gupta

Yadav

Alanzi

et al. 2016

Arab Journal of Urology

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“…Schwentner et al [7] reported on their extended experience with single-stage genital skin graft urethroplasty in thirty-one patients with failed hypospadias surgery. With a follow-up period of 78.45 ± 18.18 months, initial graft healing was successful in all.…”

Section: Discussionmentioning

confidence: 99%

Dorsal inlay inner preputial graft for primary hypospadias repair

Nerli

Guntaka

Patil

et al. 2014

Afr J Paediatr Surg

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“…Suitable skin grafts may be taken from the foreskin or oral mucosa, or they may, exceptionally, be taken with the dermatome from the upper thigh or lower abdomen (18)(19)(20)(21)(22). Numerous other materials have also been utilized (including bladder mucosa and colonic mucosa), but for various reasons have not come into widespread use.…”

Section: Open Reconstructive Proceduresmentioning

confidence: 99%