The outcome of limited urethral mobilization urethroplasty for anterior hypospadias.

Rehman, Shafiq-Ur; Makki, Yasir; Ishtiaq, Fareena; Khan, Waleeja Shami; Aziz, Nauman; Fazal, Saad

doi:10.29309/tpmj/2020.27.01.4055

Cited by 1 publication

(4 citation statements)

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“…Shorter hospital for limited urethral mobilization urethroplasty and longer for Snodgrass technique has been reported in many published studies. 10,23,24 3 min for tubalarized incised plate urethroplasty. 23 Short operation duration for limited urethral mobilization urethroplasty has been reported in the published literature.…”

Section: Resultsmentioning

confidence: 99%

“…26 High incidence of urethrocutaneous fistula with tubularized incised plate urethroplasty and low with limited urethral mobilization urethroplasty, as reported in our study, is in accordance with results obtained by many series. 10,21,22,24,25,27,28 Meatal stenosis is another important complication that has been reported with both techniques. 10,20,21,23,25,29 10,12,25,29 The small sample size is a limitation of our study.…”

Section: Resultsmentioning

confidence: 99%

“…10,21,22,24,25,27,28 Meatal stenosis is another important complication that has been reported with both techniques. 10,20,21,23,25,29 10,12,25,29 The small sample size is a limitation of our study. Fifty-six patients were included in the first year of the study period, whereas due to the covid-19 pandemic, only thirty-three patients with distal hypospadias were operated on in the second year of the study.…”

Section: Resultsmentioning

confidence: 99%

“…This technique with proven benefits and effectiveness, in the terms of cosmesis and functional outcomes, is recommended for the management of anterior hypospadias by various studies. 10,11,12,13 In 1994, Snodgrass first reported the tubularized incised plate urethroplasty. 14 The Snodgrass technique has become the optimal surgical option to repair anterior hypospadias.…”

Section: Introductionmentioning

confidence: 99%

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A comparative study of two operative procedures in anterior hypospadias repair: limited urethral mobilization and tubularized incised plate urethroplasty.

Rehman¹,

Ishtiaq

Fazal

et al. 2021

TPMJ

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Objectives: This study is aimed to compare the results of limited urethral mobilization and tubularized incised plate urethroplasty in the management of anterior hypospadias, in terms of cosmetic and functional outcomes, complication rate, operative time, and hospital stay. Study Design: Prospective Randomized Controlled study. Settings: Department of Pediatric Surgery, DHQ Teaching Hospital Sahiwal. Period: January 2019 to December 2020. Material and Methods: A total of 89 patients with anterior hypospadias were included. Patients were divided randomly into two groups. In group A, limited urethral mobilization was performed and in group B, tubularized incised plate urethroplasty was carried out. A self-structured performa was used to collect the data of all patients. Both groups were compared in terms of the operation time, hospital stay, postoperative complications, cosmetic appearance, and functional outcomes. Results: Forty-five patients were included in group A, age ranged from 2.5 to 12 years (mean 4.83years). Forty-four patients were included in group B and their ages ranged from 3.5 to 11years (mean 4.76 years). The operation time was significantly less for group A than for group B. In group A, it ranged from 54 to 69 min with an average time of 60.51 min and in group B from 70 to 88 min, with an average of 79.34 min. The mean hospital stay period in group A was 7.37 days, ranged from 7 to 9 days, and in group B was 11.04 days, ranging from 10 to 13 days. The mean follow-up period in both groups was 7.45 months, ranging from 3 months to 12 months. Meatal stenosis was the most common complication in group A, which developed in 6.66% (n=3) patients. Urethrocutaneous fistula was the most common complication in group B, which developed in 6.81% (n=3) patients. Cosmetic appearance and functional outcome were good and comparable in both groups. Conclusion: Although both techniques, tubularized incised plate and limited urethral mobilization urethroplasty are acceptable modalities for the management of anterior hypospadias. But limited urethral mobilization urethroplasty seems to be a good option due to its simplicity, short hospital stay, significant shorter operative time, low fistula formation rate, and good cosmetic and functional outcomes.

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