Single vs. Double Dartos Interposition Flaps in Preventing Urethrocutaneous Fistula after Tubularized Incised Plate Urethroplasty in Primary Distal Hypospadias: A Prospective Randomized Study

Introduction: This prospective study was designed to compare symmetrical overlapping double flaps with a single dartos flap in regard to fistula formation as an adjunct to tubularized incised plate urethroplasty (TIPU). Patients and Methods: 77 consecutive children with primary coronal or subcoronal...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Urologia internationalis 2009-01, Vol.83 (3), p.354-358
Hauptverfasser: Erol, Ali, Kayikci, Ali, Memik, Omur, Cam, Kamil, Akman, Yavuz
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 358
container_issue 3
container_start_page 354
container_title Urologia internationalis
container_volume 83
creator Erol, Ali
Kayikci, Ali
Memik, Omur
Cam, Kamil
Akman, Yavuz
description Introduction: This prospective study was designed to compare symmetrical overlapping double flaps with a single dartos flap in regard to fistula formation as an adjunct to tubularized incised plate urethroplasty (TIPU). Patients and Methods: 77 consecutive children with primary coronal or subcoronal hypospadias were randomized into 2 groups. A single layer dartos flap was used to cover the anastomotic site in the first group (37 patients). A wider dorsal dartos flap bisectioned in the midline was utilized in the second group of 40 patients. The complication rates were compared. Results: There was no difference between the 2 groups in terms of age, and meatal location. Postoperative median follow-up was 34 months. Urethrocutaneous fistula occurred in 3 patients (8.1%) of the monolayer group. No fistula developed in the second group with double flaps. Conclusions: The current study proposes that the use of double dorsal flaps, although statistically not significant, better prevents fistula formation compared to monolayer dartos flaps following TIPU operation.
doi_str_mv 10.1159/000241682
format Article
fullrecord <record><control><sourceid>proquest_karge</sourceid><recordid>TN_cdi_karger_primary_241682</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>734088553</sourcerecordid><originalsourceid>FETCH-LOGICAL-c305t-6aa6238658b71ccae32c5d743ebb6b5adb89715e59919956bb5375d10dafa29f3</originalsourceid><addsrcrecordid>eNpFkUFv1DAQhS0EotvCgTtCvqEeUuw4TmJuVZellSpR0fYcje1JMXiT1HZWWv4cfw1DlnIaj_y9Nx4_Qt5wdsa5VB8YY2XF67Z8Rla8KkXBhFLPyYqxqiw4F-0ROY7xO2MZVs1LcsRVWypWsRX5deuGB490F8_oepx1Pq4hpDHSqyFhmMbokhsHuvEwReoGehNwh0PKKnofMH0Lo5kTDDjOkW5cTLMHCn2W0rtZ5ya4n2izmXEx1xsPCf8JJw8x7RdTt4Wwp-tsAJ5e7vPcCayD-JGe59vcoUluh_QrDHbc_vW8TbPdvyIvevARXx_qCbnffLq7uCyuv3y-uji_LoxgMhU1QF2KtpatbrgxgKI00jaVQK1rLcHqVjVcYv4frpSstZaikZYzCz2Uqhcn5P3iO4XxccaYuq2LBr1fVu8aUbG2lVJk8nQhTX52DNh307Jdx1n3J67uKa7Mvju4znqL9j95yCcDbxfgB4QHDE_AQf8blISdjA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>734088553</pqid></control><display><type>article</type><title>Single vs. Double Dartos Interposition Flaps in Preventing Urethrocutaneous Fistula after Tubularized Incised Plate Urethroplasty in Primary Distal Hypospadias: A Prospective Randomized Study</title><source>MEDLINE</source><source>Karger Journals Complete</source><source>Alma/SFX Local Collection</source><creator>Erol, Ali ; Kayikci, Ali ; Memik, Omur ; Cam, Kamil ; Akman, Yavuz</creator><creatorcontrib>Erol, Ali ; Kayikci, Ali ; Memik, Omur ; Cam, Kamil ; Akman, Yavuz</creatorcontrib><description>Introduction: This prospective study was designed to compare symmetrical overlapping double flaps with a single dartos flap in regard to fistula formation as an adjunct to tubularized incised plate urethroplasty (TIPU). Patients and Methods: 77 consecutive children with primary coronal or subcoronal hypospadias were randomized into 2 groups. A single layer dartos flap was used to cover the anastomotic site in the first group (37 patients). A wider dorsal dartos flap bisectioned in the midline was utilized in the second group of 40 patients. The complication rates were compared. Results: There was no difference between the 2 groups in terms of age, and meatal location. Postoperative median follow-up was 34 months. Urethrocutaneous fistula occurred in 3 patients (8.1%) of the monolayer group. No fistula developed in the second group with double flaps. Conclusions: The current study proposes that the use of double dorsal flaps, although statistically not significant, better prevents fistula formation compared to monolayer dartos flaps following TIPU operation.</description><identifier>ISSN: 0042-1138</identifier><identifier>EISSN: 1423-0399</identifier><identifier>DOI: 10.1159/000241682</identifier><identifier>PMID: 19829040</identifier><language>eng</language><publisher>Basel, Switzerland</publisher><subject>Adolescent ; Adult ; Aged ; Child ; Cutaneous Fistula - prevention &amp; control ; Humans ; Hypospadias - pathology ; Hypospadias - surgery ; Male ; Middle Aged ; Original Paper ; Prospective Studies ; Surgical Flaps ; Urethra - surgery ; Urethral Diseases - prevention &amp; control ; Urinary Fistula - prevention &amp; control ; Urologic Surgical Procedures, Male - methods ; Young Adult</subject><ispartof>Urologia internationalis, 2009-01, Vol.83 (3), p.354-358</ispartof><rights>2009 S. Karger AG, Basel</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c305t-6aa6238658b71ccae32c5d743ebb6b5adb89715e59919956bb5375d10dafa29f3</citedby><cites>FETCH-LOGICAL-c305t-6aa6238658b71ccae32c5d743ebb6b5adb89715e59919956bb5375d10dafa29f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,2429,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19829040$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Erol, Ali</creatorcontrib><creatorcontrib>Kayikci, Ali</creatorcontrib><creatorcontrib>Memik, Omur</creatorcontrib><creatorcontrib>Cam, Kamil</creatorcontrib><creatorcontrib>Akman, Yavuz</creatorcontrib><title>Single vs. Double Dartos Interposition Flaps in Preventing Urethrocutaneous Fistula after Tubularized Incised Plate Urethroplasty in Primary Distal Hypospadias: A Prospective Randomized Study</title><title>Urologia internationalis</title><addtitle>Urol Int</addtitle><description>Introduction: This prospective study was designed to compare symmetrical overlapping double flaps with a single dartos flap in regard to fistula formation as an adjunct to tubularized incised plate urethroplasty (TIPU). Patients and Methods: 77 consecutive children with primary coronal or subcoronal hypospadias were randomized into 2 groups. A single layer dartos flap was used to cover the anastomotic site in the first group (37 patients). A wider dorsal dartos flap bisectioned in the midline was utilized in the second group of 40 patients. The complication rates were compared. Results: There was no difference between the 2 groups in terms of age, and meatal location. Postoperative median follow-up was 34 months. Urethrocutaneous fistula occurred in 3 patients (8.1%) of the monolayer group. No fistula developed in the second group with double flaps. Conclusions: The current study proposes that the use of double dorsal flaps, although statistically not significant, better prevents fistula formation compared to monolayer dartos flaps following TIPU operation.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Child</subject><subject>Cutaneous Fistula - prevention &amp; control</subject><subject>Humans</subject><subject>Hypospadias - pathology</subject><subject>Hypospadias - surgery</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Original Paper</subject><subject>Prospective Studies</subject><subject>Surgical Flaps</subject><subject>Urethra - surgery</subject><subject>Urethral Diseases - prevention &amp; control</subject><subject>Urinary Fistula - prevention &amp; control</subject><subject>Urologic Surgical Procedures, Male - methods</subject><subject>Young Adult</subject><issn>0042-1138</issn><issn>1423-0399</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkUFv1DAQhS0EotvCgTtCvqEeUuw4TmJuVZellSpR0fYcje1JMXiT1HZWWv4cfw1DlnIaj_y9Nx4_Qt5wdsa5VB8YY2XF67Z8Rla8KkXBhFLPyYqxqiw4F-0ROY7xO2MZVs1LcsRVWypWsRX5deuGB490F8_oepx1Pq4hpDHSqyFhmMbokhsHuvEwReoGehNwh0PKKnofMH0Lo5kTDDjOkW5cTLMHCn2W0rtZ5ya4n2izmXEx1xsPCf8JJw8x7RdTt4Wwp-tsAJ5e7vPcCayD-JGe59vcoUluh_QrDHbc_vW8TbPdvyIvevARXx_qCbnffLq7uCyuv3y-uji_LoxgMhU1QF2KtpatbrgxgKI00jaVQK1rLcHqVjVcYv4frpSstZaikZYzCz2Uqhcn5P3iO4XxccaYuq2LBr1fVu8aUbG2lVJk8nQhTX52DNh307Jdx1n3J67uKa7Mvju4znqL9j95yCcDbxfgB4QHDE_AQf8blISdjA</recordid><startdate>20090101</startdate><enddate>20090101</enddate><creator>Erol, Ali</creator><creator>Kayikci, Ali</creator><creator>Memik, Omur</creator><creator>Cam, Kamil</creator><creator>Akman, Yavuz</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20090101</creationdate><title>Single vs. Double Dartos Interposition Flaps in Preventing Urethrocutaneous Fistula after Tubularized Incised Plate Urethroplasty in Primary Distal Hypospadias: A Prospective Randomized Study</title><author>Erol, Ali ; Kayikci, Ali ; Memik, Omur ; Cam, Kamil ; Akman, Yavuz</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c305t-6aa6238658b71ccae32c5d743ebb6b5adb89715e59919956bb5375d10dafa29f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Child</topic><topic>Cutaneous Fistula - prevention &amp; control</topic><topic>Humans</topic><topic>Hypospadias - pathology</topic><topic>Hypospadias - surgery</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Original Paper</topic><topic>Prospective Studies</topic><topic>Surgical Flaps</topic><topic>Urethra - surgery</topic><topic>Urethral Diseases - prevention &amp; control</topic><topic>Urinary Fistula - prevention &amp; control</topic><topic>Urologic Surgical Procedures, Male - methods</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Erol, Ali</creatorcontrib><creatorcontrib>Kayikci, Ali</creatorcontrib><creatorcontrib>Memik, Omur</creatorcontrib><creatorcontrib>Cam, Kamil</creatorcontrib><creatorcontrib>Akman, Yavuz</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Urologia internationalis</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Erol, Ali</au><au>Kayikci, Ali</au><au>Memik, Omur</au><au>Cam, Kamil</au><au>Akman, Yavuz</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Single vs. Double Dartos Interposition Flaps in Preventing Urethrocutaneous Fistula after Tubularized Incised Plate Urethroplasty in Primary Distal Hypospadias: A Prospective Randomized Study</atitle><jtitle>Urologia internationalis</jtitle><addtitle>Urol Int</addtitle><date>2009-01-01</date><risdate>2009</risdate><volume>83</volume><issue>3</issue><spage>354</spage><epage>358</epage><pages>354-358</pages><issn>0042-1138</issn><eissn>1423-0399</eissn><abstract>Introduction: This prospective study was designed to compare symmetrical overlapping double flaps with a single dartos flap in regard to fistula formation as an adjunct to tubularized incised plate urethroplasty (TIPU). Patients and Methods: 77 consecutive children with primary coronal or subcoronal hypospadias were randomized into 2 groups. A single layer dartos flap was used to cover the anastomotic site in the first group (37 patients). A wider dorsal dartos flap bisectioned in the midline was utilized in the second group of 40 patients. The complication rates were compared. Results: There was no difference between the 2 groups in terms of age, and meatal location. Postoperative median follow-up was 34 months. Urethrocutaneous fistula occurred in 3 patients (8.1%) of the monolayer group. No fistula developed in the second group with double flaps. Conclusions: The current study proposes that the use of double dorsal flaps, although statistically not significant, better prevents fistula formation compared to monolayer dartos flaps following TIPU operation.</abstract><cop>Basel, Switzerland</cop><pmid>19829040</pmid><doi>10.1159/000241682</doi><tpages>5</tpages></addata></record>
fulltext fulltext
identifier ISSN: 0042-1138
ispartof Urologia internationalis, 2009-01, Vol.83 (3), p.354-358
issn 0042-1138
1423-0399
language eng
recordid cdi_karger_primary_241682
source MEDLINE; Karger Journals Complete; Alma/SFX Local Collection
subjects Adolescent
Adult
Aged
Child
Cutaneous Fistula - prevention & control
Humans
Hypospadias - pathology
Hypospadias - surgery
Male
Middle Aged
Original Paper
Prospective Studies
Surgical Flaps
Urethra - surgery
Urethral Diseases - prevention & control
Urinary Fistula - prevention & control
Urologic Surgical Procedures, Male - methods
Young Adult
title Single vs. Double Dartos Interposition Flaps in Preventing Urethrocutaneous Fistula after Tubularized Incised Plate Urethroplasty in Primary Distal Hypospadias: A Prospective Randomized Study
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-23T12%3A01%3A43IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_karge&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Single%20vs.%20Double%20Dartos%20Interposition%20Flaps%20in%20Preventing%20Urethrocutaneous%20Fistula%20after%20Tubularized%20Incised%20Plate%20Urethroplasty%20in%20Primary%20Distal%20Hypospadias:%20A%20Prospective%20Randomized%20Study&rft.jtitle=Urologia%20internationalis&rft.au=Erol,%20Ali&rft.date=2009-01-01&rft.volume=83&rft.issue=3&rft.spage=354&rft.epage=358&rft.pages=354-358&rft.issn=0042-1138&rft.eissn=1423-0399&rft_id=info:doi/10.1159/000241682&rft_dat=%3Cproquest_karge%3E734088553%3C/proquest_karge%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=734088553&rft_id=info:pmid/19829040&rfr_iscdi=true