Experience with modified two stage inner preputial flap for repair of proximal hypospadias with chordee: A single institution study with intermediate follow up
We present our modified technique of using the inner preputial flap to cover the penile shaft, while removing the subcutaneous tissue of the distal part of the flap to act similar to graft. Herein, we present our experience with modified two stage inner preputial flap for repair of proximal hypospad...
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| Veröffentlicht in: | Journal of pediatric surgery 2022-07, Vol.57 (7), p.1404-1408 |
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| container_title | Journal of pediatric surgery |
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| creator | Ali, Mostafa Magdi Anwar, Ahmed Zaki |
| description | We present our modified technique of using the inner preputial flap to cover the penile shaft, while removing the subcutaneous tissue of the distal part of the flap to act similar to graft. Herein, we present our experience with modified two stage inner preputial flap for repair of proximal hypospadias with chordee.
The current study was a single-institution retrospective study between January 2016 and December 2020. Thirty-one patients with proximal hypospadias with chordee were included and underwent our modified technique. We excluded re-operative hypospadias and incomplete follow-up cases ( |
| doi_str_mv | 10.1016/j.jpedsurg.2021.05.024 |
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The current study was a single-institution retrospective study between January 2016 and December 2020. Thirty-one patients with proximal hypospadias with chordee were included and underwent our modified technique. We excluded re-operative hypospadias and incomplete follow-up cases (<6 month of follow up). Patient demographics, outcomes and complications in the form of fistula formation, diverticulum, metal stenosis, stricture formation and glans dehiscence were reviewed.
A total of 31 patients were included in the study and underwent our modified technique. The median age was 18 months (9–60) & IQR 15–25). The median follow up was 40 months. Overall, success was achieved in 24 cases (77.4%). Complications occurred in seven cases (22.6%) and included urethrocutanous fistula in three patients (9.7%), diverticulum in two patients (6.5.%), metal stenosis in one patient (3.2%) and glans dehiscence in one patient (3.2%).
Our technique provides a favourable outcome with a low complication rate for repair of proximal severe hypospadias.
Case Series Study (Level IV).</description><identifier>ISSN: 0022-3468</identifier><identifier>EISSN: 1531-5037</identifier><identifier>DOI: 10.1016/j.jpedsurg.2021.05.024</identifier><identifier>PMID: 34217511</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Chordee ; Constriction, Pathologic - surgery ; Diverticulum - surgery ; Follow-Up Studies ; Humans ; Hypospadias - complications ; Hypospadias - surgery ; Infant ; Male ; Proximal hypospadias ; Retrospective Studies ; Surgical technique ; Treatment Outcome ; Two-stage repair ; Urethra - surgery ; Urologic Surgical Procedures, Male - methods</subject><ispartof>Journal of pediatric surgery, 2022-07, Vol.57 (7), p.1404-1408</ispartof><rights>2021</rights><rights>Copyright © 2021. Published by Elsevier Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c2131-8906bd57902c673189829b90e2534a9aa90e60e86b7f6948d7795b8742abdae73</citedby><cites>FETCH-LOGICAL-c2131-8906bd57902c673189829b90e2534a9aa90e60e86b7f6948d7795b8742abdae73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jpedsurg.2021.05.024$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34217511$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ali, Mostafa Magdi</creatorcontrib><creatorcontrib>Anwar, Ahmed Zaki</creatorcontrib><title>Experience with modified two stage inner preputial flap for repair of proximal hypospadias with chordee: A single institution study with intermediate follow up</title><title>Journal of pediatric surgery</title><addtitle>J Pediatr Surg</addtitle><description>We present our modified technique of using the inner preputial flap to cover the penile shaft, while removing the subcutaneous tissue of the distal part of the flap to act similar to graft. Herein, we present our experience with modified two stage inner preputial flap for repair of proximal hypospadias with chordee.
The current study was a single-institution retrospective study between January 2016 and December 2020. Thirty-one patients with proximal hypospadias with chordee were included and underwent our modified technique. We excluded re-operative hypospadias and incomplete follow-up cases (<6 month of follow up). Patient demographics, outcomes and complications in the form of fistula formation, diverticulum, metal stenosis, stricture formation and glans dehiscence were reviewed.
A total of 31 patients were included in the study and underwent our modified technique. The median age was 18 months (9–60) & IQR 15–25). The median follow up was 40 months. Overall, success was achieved in 24 cases (77.4%). Complications occurred in seven cases (22.6%) and included urethrocutanous fistula in three patients (9.7%), diverticulum in two patients (6.5.%), metal stenosis in one patient (3.2%) and glans dehiscence in one patient (3.2%).
Our technique provides a favourable outcome with a low complication rate for repair of proximal severe hypospadias.
Case Series Study (Level IV).</description><subject>Chordee</subject><subject>Constriction, Pathologic - surgery</subject><subject>Diverticulum - surgery</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Hypospadias - complications</subject><subject>Hypospadias - surgery</subject><subject>Infant</subject><subject>Male</subject><subject>Proximal hypospadias</subject><subject>Retrospective Studies</subject><subject>Surgical technique</subject><subject>Treatment Outcome</subject><subject>Two-stage repair</subject><subject>Urethra - surgery</subject><subject>Urologic Surgical Procedures, Male - methods</subject><issn>0022-3468</issn><issn>1531-5037</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkcFu3CAURVHVqJkm-YWIZTfjADZgumoUpU2lSN2ka4TN8wwjj6GAO5mv6a-GqZNuuwK9d9-9ujoIXVNSUULFza7aBbBpjpuKEUYrwivCmndoRXlN15zU8j1aEcLYum5Ee44-prQjpIwJ_YDO64ZRySldoT_3zwGig6kHfHB5i_feusGBxfngccpmA9hNE0QcIoQ5OzPiYTQBDz7iMjEuYj-UpX92-7LbHoNPwVhn0uLXb320AJ_xLU5u2ownu5RdLlZ-KgGzPS5CN2WIeyiXGYr7OPoDnsMlOhvMmODq9b1AP7_eP909rB9_fPt-d_u47hkthVtFRGe5VIT1Qta0VS1TnSLAeN0YZUz5CgKt6OQgVNNaKRXvWtkw01kDsr5Anxbf0uTXDCnrvUs9jKOZwM9JM960gjDOVZGKRdpHn1KEQYdYusejpkSf4OidfoOjT3A04brAKYfXrxlzV4r-O3ujUQRfFgGUpr8dRJ36v2isi9Bnbb37X8YLXwGnPg</recordid><startdate>202207</startdate><enddate>202207</enddate><creator>Ali, Mostafa Magdi</creator><creator>Anwar, Ahmed Zaki</creator><general>Elsevier Inc</general><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>202207</creationdate><title>Experience with modified two stage inner preputial flap for repair of proximal hypospadias with chordee: A single institution study with intermediate follow up</title><author>Ali, Mostafa Magdi ; Anwar, Ahmed Zaki</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2131-8906bd57902c673189829b90e2534a9aa90e60e86b7f6948d7795b8742abdae73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Chordee</topic><topic>Constriction, Pathologic - surgery</topic><topic>Diverticulum - surgery</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Hypospadias - complications</topic><topic>Hypospadias - surgery</topic><topic>Infant</topic><topic>Male</topic><topic>Proximal hypospadias</topic><topic>Retrospective Studies</topic><topic>Surgical technique</topic><topic>Treatment Outcome</topic><topic>Two-stage repair</topic><topic>Urethra - surgery</topic><topic>Urologic Surgical Procedures, Male - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ali, Mostafa Magdi</creatorcontrib><creatorcontrib>Anwar, Ahmed Zaki</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>Journal of pediatric surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ali, Mostafa Magdi</au><au>Anwar, Ahmed Zaki</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Experience with modified two stage inner preputial flap for repair of proximal hypospadias with chordee: A single institution study with intermediate follow up</atitle><jtitle>Journal of pediatric surgery</jtitle><addtitle>J Pediatr Surg</addtitle><date>2022-07</date><risdate>2022</risdate><volume>57</volume><issue>7</issue><spage>1404</spage><epage>1408</epage><pages>1404-1408</pages><issn>0022-3468</issn><eissn>1531-5037</eissn><abstract>We present our modified technique of using the inner preputial flap to cover the penile shaft, while removing the subcutaneous tissue of the distal part of the flap to act similar to graft. Herein, we present our experience with modified two stage inner preputial flap for repair of proximal hypospadias with chordee.
The current study was a single-institution retrospective study between January 2016 and December 2020. Thirty-one patients with proximal hypospadias with chordee were included and underwent our modified technique. We excluded re-operative hypospadias and incomplete follow-up cases (<6 month of follow up). Patient demographics, outcomes and complications in the form of fistula formation, diverticulum, metal stenosis, stricture formation and glans dehiscence were reviewed.
A total of 31 patients were included in the study and underwent our modified technique. The median age was 18 months (9–60) & IQR 15–25). The median follow up was 40 months. Overall, success was achieved in 24 cases (77.4%). Complications occurred in seven cases (22.6%) and included urethrocutanous fistula in three patients (9.7%), diverticulum in two patients (6.5.%), metal stenosis in one patient (3.2%) and glans dehiscence in one patient (3.2%).
Our technique provides a favourable outcome with a low complication rate for repair of proximal severe hypospadias.
Case Series Study (Level IV).</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>34217511</pmid><doi>10.1016/j.jpedsurg.2021.05.024</doi><tpages>5</tpages></addata></record> |
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| ispartof | Journal of pediatric surgery, 2022-07, Vol.57 (7), p.1404-1408 |
| issn | 0022-3468 1531-5037 |
| language | eng |
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| source | MEDLINE; Access via ScienceDirect (Elsevier) |
| subjects | Chordee Constriction, Pathologic - surgery Diverticulum - surgery Follow-Up Studies Humans Hypospadias - complications Hypospadias - surgery Infant Male Proximal hypospadias Retrospective Studies Surgical technique Treatment Outcome Two-stage repair Urethra - surgery Urologic Surgical Procedures, Male - methods |
| title | Experience with modified two stage inner preputial flap for repair of proximal hypospadias with chordee: A single institution study with intermediate follow up |
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