Surgical Outcome of Different Types of Primary Hypospadias Repair During Three Decades in a Single Center

Prat, Dan; Natasha, Alaadin; Polak, Avner; Koulikov, Dmitry; Prat, Orly; Zilberman, Moshe; Arafeh, Wael Abu; Moriel, Eviatar Z.; Shenfeld, Ofer Z.; Mor, Yoram; Farkas, Amicur; Chertin, Boris

doi:10.1016/j.urology.2011.11.085

Cited by 46 publications

(28 citation statements)

References 15 publications

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“…This is a rather high percentage, when compared with the other two previous studies presented in Table 1 [3,8]; however, our rate of success is comparable with that in the case of other operations carried out for proximal hypospadias [1,2,9]. One of the reasons for this high complication rate could be the patients' age, which was higher than that recorded in the other two published studies [3,8], and much higher than the age of 6-12 months, recommended by the American Academy of Pediatrics [10], or 6-18 months, according to other clinical guidelines [11].…”

Section: Discussionsupporting

confidence: 77%

“…Several surgical techniques, involving one-stage or multistage procedure, have been described over the years (more than 300 techniques) [1,2], but the standard and most feasible reconstruction has not yet been identified for reconstruction of proximal hypospadias. Lateral-based flap technique is a single-stage urethral reconstruction used for proximal hypospadias with chordee [3,4].…”

Section: Introductionmentioning

confidence: 99%

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One-Stage Repair of Proximal Hypospadias Using Lateral Penile Flap—Preliminary Results in a Single-Center Experience

2013

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Section: Discussionsupporting

confidence: 77%

Section: Introductionmentioning

confidence: 99%

One-Stage Repair of Proximal Hypospadias Using Lateral Penile Flap—Preliminary Results in a Single-Center Experience

2013

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“…1,2 Among various complications, urethrocutaneous fistula (UCF) is the most frustrating experience; it is hard to manage, due to the lack of healthy surrounding tissue. Recently, it has been reported that an extra waterproof layer between the urethra and skin is able to improve the success rate and reduce the recurrence of the fistula.…”

Section: Introductionmentioning

confidence: 99%

Three-layer reconstruction of large urethrocutaneous fistulas using scrotal-septal flaps

Zhou¹,

Lu²,

Zhou³

et al. 2014

CUAJ

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Cite as: Can Urol Assoc J 2014;8(11-12):e828-31. http://dx.doi.org/10.5489/cuaj.1983 Published online November 24, 2014. AbstractIntroduction: The repair of large urethrocutaneous fistulas (UCFs) commonly involves reconstruction of the urethra, waterproof layer and skin coverage, which deploy different tissues from different flaps. To simplify the multiple procedures, we explored to use one flap (a scrotal-septal flap) to reconstruct three layers in UCF repairing in one stage. Methods: Between January 2011 and July 2012, 29 patients with large UCFs (ranging from 1.0 to 2.0 cm) were treated using scrotal-septal flaps for three-layer reconstruction. Every patient has an unbroken scrotum. The hair follicles in the donor site were destroyed using a radiosurgical knife 2 months before the operation. The flap was divided into three zones, which were flipped, folded, and extended respectively to form the urethra, waterproof layer and skin coverage. Results: The patients were followed up between 6 to 12 months. No fistula recurrence was observed. All flaps survived, except in one case, in which the distal skin flap was lost but stenosis or fistula did not develop. Two patients underwent second operations to refine the aesthetic results. Conclusions: The scrotal-septal flap can be transferred in an overturning-folding-advancement fashion and can simultaneously involve the reconstruction of the urethra, waterproof barrier and skin coverage. This is a simple and reliable alternative for large UCFs (≤2 cm) repairing at the penoscrotal junction; however, it cannot be used in patients with a damaged scrotal septum.

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“…Prat et al [3] published a series that covered three decades including 820 patients, highlighting different techniques and overall results. They performed meatal advancement and glanduloplasty (MAGPI), TIP, two stage procedures, onlay tabularised island flap, yet with a high incidence of complications.…”

Section: Discussionmentioning

confidence: 99%

Hypospadias: an algorithm for repair with the aid of the microscope in 102 patients

Maher¹,

Chasapi²,

Dalal³

2017

PAR

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Surgical Outcome of Different Types of Primary Hypospadias Repair During Three Decades in a Single Center

Cited by 46 publications

References 15 publications

One-Stage Repair of Proximal Hypospadias Using Lateral Penile Flap—Preliminary Results in a Single-Center Experience

One-Stage Repair of Proximal Hypospadias Using Lateral Penile Flap—Preliminary Results in a Single-Center Experience

Three-layer reconstruction of large urethrocutaneous fistulas using scrotal-septal flaps

Hypospadias: an algorithm for repair with the aid of the microscope in 102 patients

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