Advantages of Urethroplasty Terminating at the Corona for Severe Hypospadias: Complications, Uroflowmetry, and Esthetics
Mid-shaft/proximal (msp) and penoscrotal/scrotal/perineal (pssp) hypospadias treated by urethroplasty (UP) terminating at the corona (UPC) or UP terminating at the tip of the glans (UPG) were compared. UP performed at a single institute (n = 234) between 2003 and 2020 were grouped as: msp-UPC (n = 2...
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| Veröffentlicht in: | Journal of pediatric surgery 2024-04, Vol.59 (4), p.610-615 |
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| creator | Shimizu, Sakika Seo, Shogo Kaneko, Kotaro Abiko, Ryoichi Ishii, Junya Yamada, Shunsuke Watayo, Hiroko Yazaki, Yuta Suda, Kazuto Miyake, Yuichiro Ochi, Takanori Koga, Hiroyuki Lane, Geoffrey J. Yamataka, Atsuyuki |
| description | Mid-shaft/proximal (msp) and penoscrotal/scrotal/perineal (pssp) hypospadias treated by urethroplasty (UP) terminating at the corona (UPC) or UP terminating at the tip of the glans (UPG) were compared.
UP performed at a single institute (n = 234) between 2003 and 2020 were grouped as: msp-UPC (n = 23), msp-UPG (n = 75), pssp-UPC (n = 81), and pssp-UPG (n = 55) to compare data obtained from medical records for post-UP complications (PUC; urethral stenosis, urethrocutaneous fistula, diverticulum formation, and bleeding; n = 234), post-UP uroflowmetry (PUF; average flow rate (Qave), maximum flow rate (Qmax), voiding time (VT), voided volume (VV) and urine flow curves) in 57 UP patients [msp-UPC (n = 5), msp-UPG (n = 12), pssp-UPC (n = 32), pssp-UPG (n = 8)] and 9 controls, and post-UPC esthetics (EST; n = 104). P |
| doi_str_mv | 10.1016/j.jpedsurg.2023.11.027 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2909084731</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0022346823007431</els_id><sourcerecordid>2909084731</sourcerecordid><originalsourceid>FETCH-LOGICAL-c315t-d70f0854f0cdcb496b769ca6d51e4b22ab11feb8e7ad8ed03f01b8b7229d7f693</originalsourceid><addsrcrecordid>eNqFkEtP3DAQx62qVVmgXwH52ANJx3aePRWteFRC6gE4W449XrxK4tT2brvfHqOFXnsaaeb_0PwIuWBQMmDNt225XdDEXdiUHLgoGSuBtx_IitWCFTWI9iNZAXBeiKrpTshpjFuAvAb2mZyIjjWiraoV-Xtl9mpOaoORekufAqbn4JdRxXSgjxgmN6vk5g1ViaZnpGsf_Kyo9YE-4B4D0rvD4uOijFPxez5Py-h0tvg5XuY4b0f_Z8IUDpdUzYZex5ySnI7n5JNVY8Qvb_OMPN1cP67vivtftz_XV_eFFqxOhWnBQldXFrTRQ9U3Q9v0WjWmZlgNnKuBMYtDh60yHRoQFtjQDS3nvWlt04sz8vWYuwT_e4cxyclFjeOoZvS7KHkPPXRVK1iWNkepDj7GgFYuwU0qHCQD-UpdbuU7dflKXTImM_VsvHjr2A0Tmn-2d8xZ8OMowPzp3mGQUTucNRoXUCdpvPtfxwtVOpnP</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2909084731</pqid></control><display><type>article</type><title>Advantages of Urethroplasty Terminating at the Corona for Severe Hypospadias: Complications, Uroflowmetry, and Esthetics</title><source>Elsevier ScienceDirect Journals</source><creator>Shimizu, Sakika ; Seo, Shogo ; Kaneko, Kotaro ; Abiko, Ryoichi ; Ishii, Junya ; Yamada, Shunsuke ; Watayo, Hiroko ; Yazaki, Yuta ; Suda, Kazuto ; Miyake, Yuichiro ; Ochi, Takanori ; Koga, Hiroyuki ; Lane, Geoffrey J. ; Yamataka, Atsuyuki</creator><creatorcontrib>Shimizu, Sakika ; Seo, Shogo ; Kaneko, Kotaro ; Abiko, Ryoichi ; Ishii, Junya ; Yamada, Shunsuke ; Watayo, Hiroko ; Yazaki, Yuta ; Suda, Kazuto ; Miyake, Yuichiro ; Ochi, Takanori ; Koga, Hiroyuki ; Lane, Geoffrey J. ; Yamataka, Atsuyuki</creatorcontrib><description><![CDATA[Mid-shaft/proximal (msp) and penoscrotal/scrotal/perineal (pssp) hypospadias treated by urethroplasty (UP) terminating at the corona (UPC) or UP terminating at the tip of the glans (UPG) were compared.
UP performed at a single institute (n = 234) between 2003 and 2020 were grouped as: msp-UPC (n = 23), msp-UPG (n = 75), pssp-UPC (n = 81), and pssp-UPG (n = 55) to compare data obtained from medical records for post-UP complications (PUC; urethral stenosis, urethrocutaneous fistula, diverticulum formation, and bleeding; n = 234), post-UP uroflowmetry (PUF; average flow rate (Qave), maximum flow rate (Qmax), voiding time (VT), voided volume (VV) and urine flow curves) in 57 UP patients [msp-UPC (n = 5), msp-UPG (n = 12), pssp-UPC (n = 32), pssp-UPG (n = 8)] and 9 controls, and post-UPC esthetics (EST; n = 104). P < 0.05 was considered significant.
Mean ages at UP (years) were: msp-UPC (3.1 ± 3.0), msp-UPG (3.3 ± 1.4), pssp-UPC (4.6 ± 2.4), and pssp-UPG (3.4 ± 1.4); p < 0.0001 by ANOVA test. Overall, there were significantly more PUC in pssp-UPG compared with pssp-UPC except for bleeding.
Ages at PUF assessment were similar. Mean Qave (mL/s) for pssp-UPG (4.0 ± 1.0) was significantly less than pssp-UPC (5.9 ± 2.5; p < 0.05) and both were significantly less than controls (6.9 ± 1.8; p < 0.05, p < 0.01, respectively). Mean Qmax (mL/s) for pssp-UPC (11.4 ± 4.8) was significantly better than pssp-UPG (7.8 ± 2.3; p < 0.05) and for controls (14.9 ± 4.4) was significantly better than pssp-UPG (7.8 ± 2.3; p < 0.01). All VT (seconds) were similar to controls; all urine flow curves were normal. For EST in UPC (n = 104), 3 cases requested meatal advancement.
UPC may be a valid option for treating pssp hypospadias because of significant differences in PUC/PUF and minimal EST issues compared with UPG.
Prognosis Study Level-Ⅱ]]></description><identifier>ISSN: 0022-3468</identifier><identifier>EISSN: 1531-5037</identifier><identifier>DOI: 10.1016/j.jpedsurg.2023.11.027</identifier><identifier>PMID: 38163744</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Hypospadias ; Meatus ; Urethral stricture ; Urethrocutaneous fistula ; Urethroplasty ; Uroflowmetry</subject><ispartof>Journal of pediatric surgery, 2024-04, Vol.59 (4), p.610-615</ispartof><rights>2023 Elsevier Inc.</rights><rights>Copyright © 2023 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c315t-d70f0854f0cdcb496b769ca6d51e4b22ab11feb8e7ad8ed03f01b8b7229d7f693</cites><orcidid>0000-0003-0096-059X ; 0000-0002-5623-8689 ; 0009-0003-7285-5809 ; 0009-0002-7390-5196 ; 0000-0003-0359-8987 ; 0009-0003-7201-4241</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0022346823007431$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38163744$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Shimizu, Sakika</creatorcontrib><creatorcontrib>Seo, Shogo</creatorcontrib><creatorcontrib>Kaneko, Kotaro</creatorcontrib><creatorcontrib>Abiko, Ryoichi</creatorcontrib><creatorcontrib>Ishii, Junya</creatorcontrib><creatorcontrib>Yamada, Shunsuke</creatorcontrib><creatorcontrib>Watayo, Hiroko</creatorcontrib><creatorcontrib>Yazaki, Yuta</creatorcontrib><creatorcontrib>Suda, Kazuto</creatorcontrib><creatorcontrib>Miyake, Yuichiro</creatorcontrib><creatorcontrib>Ochi, Takanori</creatorcontrib><creatorcontrib>Koga, Hiroyuki</creatorcontrib><creatorcontrib>Lane, Geoffrey J.</creatorcontrib><creatorcontrib>Yamataka, Atsuyuki</creatorcontrib><title>Advantages of Urethroplasty Terminating at the Corona for Severe Hypospadias: Complications, Uroflowmetry, and Esthetics</title><title>Journal of pediatric surgery</title><addtitle>J Pediatr Surg</addtitle><description><![CDATA[Mid-shaft/proximal (msp) and penoscrotal/scrotal/perineal (pssp) hypospadias treated by urethroplasty (UP) terminating at the corona (UPC) or UP terminating at the tip of the glans (UPG) were compared.
UP performed at a single institute (n = 234) between 2003 and 2020 were grouped as: msp-UPC (n = 23), msp-UPG (n = 75), pssp-UPC (n = 81), and pssp-UPG (n = 55) to compare data obtained from medical records for post-UP complications (PUC; urethral stenosis, urethrocutaneous fistula, diverticulum formation, and bleeding; n = 234), post-UP uroflowmetry (PUF; average flow rate (Qave), maximum flow rate (Qmax), voiding time (VT), voided volume (VV) and urine flow curves) in 57 UP patients [msp-UPC (n = 5), msp-UPG (n = 12), pssp-UPC (n = 32), pssp-UPG (n = 8)] and 9 controls, and post-UPC esthetics (EST; n = 104). P < 0.05 was considered significant.
Mean ages at UP (years) were: msp-UPC (3.1 ± 3.0), msp-UPG (3.3 ± 1.4), pssp-UPC (4.6 ± 2.4), and pssp-UPG (3.4 ± 1.4); p < 0.0001 by ANOVA test. Overall, there were significantly more PUC in pssp-UPG compared with pssp-UPC except for bleeding.
Ages at PUF assessment were similar. Mean Qave (mL/s) for pssp-UPG (4.0 ± 1.0) was significantly less than pssp-UPC (5.9 ± 2.5; p < 0.05) and both were significantly less than controls (6.9 ± 1.8; p < 0.05, p < 0.01, respectively). Mean Qmax (mL/s) for pssp-UPC (11.4 ± 4.8) was significantly better than pssp-UPG (7.8 ± 2.3; p < 0.05) and for controls (14.9 ± 4.4) was significantly better than pssp-UPG (7.8 ± 2.3; p < 0.01). All VT (seconds) were similar to controls; all urine flow curves were normal. For EST in UPC (n = 104), 3 cases requested meatal advancement.
UPC may be a valid option for treating pssp hypospadias because of significant differences in PUC/PUF and minimal EST issues compared with UPG.
Prognosis Study Level-Ⅱ]]></description><subject>Hypospadias</subject><subject>Meatus</subject><subject>Urethral stricture</subject><subject>Urethrocutaneous fistula</subject><subject>Urethroplasty</subject><subject>Uroflowmetry</subject><issn>0022-3468</issn><issn>1531-5037</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><recordid>eNqFkEtP3DAQx62qVVmgXwH52ANJx3aePRWteFRC6gE4W449XrxK4tT2brvfHqOFXnsaaeb_0PwIuWBQMmDNt225XdDEXdiUHLgoGSuBtx_IitWCFTWI9iNZAXBeiKrpTshpjFuAvAb2mZyIjjWiraoV-Xtl9mpOaoORekufAqbn4JdRxXSgjxgmN6vk5g1ViaZnpGsf_Kyo9YE-4B4D0rvD4uOijFPxez5Py-h0tvg5XuY4b0f_Z8IUDpdUzYZex5ySnI7n5JNVY8Qvb_OMPN1cP67vivtftz_XV_eFFqxOhWnBQldXFrTRQ9U3Q9v0WjWmZlgNnKuBMYtDh60yHRoQFtjQDS3nvWlt04sz8vWYuwT_e4cxyclFjeOoZvS7KHkPPXRVK1iWNkepDj7GgFYuwU0qHCQD-UpdbuU7dflKXTImM_VsvHjr2A0Tmn-2d8xZ8OMowPzp3mGQUTucNRoXUCdpvPtfxwtVOpnP</recordid><startdate>20240401</startdate><enddate>20240401</enddate><creator>Shimizu, Sakika</creator><creator>Seo, Shogo</creator><creator>Kaneko, Kotaro</creator><creator>Abiko, Ryoichi</creator><creator>Ishii, Junya</creator><creator>Yamada, Shunsuke</creator><creator>Watayo, Hiroko</creator><creator>Yazaki, Yuta</creator><creator>Suda, Kazuto</creator><creator>Miyake, Yuichiro</creator><creator>Ochi, Takanori</creator><creator>Koga, Hiroyuki</creator><creator>Lane, Geoffrey J.</creator><creator>Yamataka, Atsuyuki</creator><general>Elsevier Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-0096-059X</orcidid><orcidid>https://orcid.org/0000-0002-5623-8689</orcidid><orcidid>https://orcid.org/0009-0003-7285-5809</orcidid><orcidid>https://orcid.org/0009-0002-7390-5196</orcidid><orcidid>https://orcid.org/0000-0003-0359-8987</orcidid><orcidid>https://orcid.org/0009-0003-7201-4241</orcidid></search><sort><creationdate>20240401</creationdate><title>Advantages of Urethroplasty Terminating at the Corona for Severe Hypospadias: Complications, Uroflowmetry, and Esthetics</title><author>Shimizu, Sakika ; Seo, Shogo ; Kaneko, Kotaro ; Abiko, Ryoichi ; Ishii, Junya ; Yamada, Shunsuke ; Watayo, Hiroko ; Yazaki, Yuta ; Suda, Kazuto ; Miyake, Yuichiro ; Ochi, Takanori ; Koga, Hiroyuki ; Lane, Geoffrey J. ; Yamataka, Atsuyuki</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c315t-d70f0854f0cdcb496b769ca6d51e4b22ab11feb8e7ad8ed03f01b8b7229d7f693</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Hypospadias</topic><topic>Meatus</topic><topic>Urethral stricture</topic><topic>Urethrocutaneous fistula</topic><topic>Urethroplasty</topic><topic>Uroflowmetry</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Shimizu, Sakika</creatorcontrib><creatorcontrib>Seo, Shogo</creatorcontrib><creatorcontrib>Kaneko, Kotaro</creatorcontrib><creatorcontrib>Abiko, Ryoichi</creatorcontrib><creatorcontrib>Ishii, Junya</creatorcontrib><creatorcontrib>Yamada, Shunsuke</creatorcontrib><creatorcontrib>Watayo, Hiroko</creatorcontrib><creatorcontrib>Yazaki, Yuta</creatorcontrib><creatorcontrib>Suda, Kazuto</creatorcontrib><creatorcontrib>Miyake, Yuichiro</creatorcontrib><creatorcontrib>Ochi, Takanori</creatorcontrib><creatorcontrib>Koga, Hiroyuki</creatorcontrib><creatorcontrib>Lane, Geoffrey J.</creatorcontrib><creatorcontrib>Yamataka, Atsuyuki</creatorcontrib><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>Shimizu, Sakika</au><au>Seo, Shogo</au><au>Kaneko, Kotaro</au><au>Abiko, Ryoichi</au><au>Ishii, Junya</au><au>Yamada, Shunsuke</au><au>Watayo, Hiroko</au><au>Yazaki, Yuta</au><au>Suda, Kazuto</au><au>Miyake, Yuichiro</au><au>Ochi, Takanori</au><au>Koga, Hiroyuki</au><au>Lane, Geoffrey J.</au><au>Yamataka, Atsuyuki</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Advantages of Urethroplasty Terminating at the Corona for Severe Hypospadias: Complications, Uroflowmetry, and Esthetics</atitle><jtitle>Journal of pediatric surgery</jtitle><addtitle>J Pediatr Surg</addtitle><date>2024-04-01</date><risdate>2024</risdate><volume>59</volume><issue>4</issue><spage>610</spage><epage>615</epage><pages>610-615</pages><issn>0022-3468</issn><eissn>1531-5037</eissn><abstract><![CDATA[Mid-shaft/proximal (msp) and penoscrotal/scrotal/perineal (pssp) hypospadias treated by urethroplasty (UP) terminating at the corona (UPC) or UP terminating at the tip of the glans (UPG) were compared.
UP performed at a single institute (n = 234) between 2003 and 2020 were grouped as: msp-UPC (n = 23), msp-UPG (n = 75), pssp-UPC (n = 81), and pssp-UPG (n = 55) to compare data obtained from medical records for post-UP complications (PUC; urethral stenosis, urethrocutaneous fistula, diverticulum formation, and bleeding; n = 234), post-UP uroflowmetry (PUF; average flow rate (Qave), maximum flow rate (Qmax), voiding time (VT), voided volume (VV) and urine flow curves) in 57 UP patients [msp-UPC (n = 5), msp-UPG (n = 12), pssp-UPC (n = 32), pssp-UPG (n = 8)] and 9 controls, and post-UPC esthetics (EST; n = 104). P < 0.05 was considered significant.
Mean ages at UP (years) were: msp-UPC (3.1 ± 3.0), msp-UPG (3.3 ± 1.4), pssp-UPC (4.6 ± 2.4), and pssp-UPG (3.4 ± 1.4); p < 0.0001 by ANOVA test. Overall, there were significantly more PUC in pssp-UPG compared with pssp-UPC except for bleeding.
Ages at PUF assessment were similar. Mean Qave (mL/s) for pssp-UPG (4.0 ± 1.0) was significantly less than pssp-UPC (5.9 ± 2.5; p < 0.05) and both were significantly less than controls (6.9 ± 1.8; p < 0.05, p < 0.01, respectively). Mean Qmax (mL/s) for pssp-UPC (11.4 ± 4.8) was significantly better than pssp-UPG (7.8 ± 2.3; p < 0.05) and for controls (14.9 ± 4.4) was significantly better than pssp-UPG (7.8 ± 2.3; p < 0.01). All VT (seconds) were similar to controls; all urine flow curves were normal. For EST in UPC (n = 104), 3 cases requested meatal advancement.
UPC may be a valid option for treating pssp hypospadias because of significant differences in PUC/PUF and minimal EST issues compared with UPG.
Prognosis Study Level-Ⅱ]]></abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>38163744</pmid><doi>10.1016/j.jpedsurg.2023.11.027</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0003-0096-059X</orcidid><orcidid>https://orcid.org/0000-0002-5623-8689</orcidid><orcidid>https://orcid.org/0009-0003-7285-5809</orcidid><orcidid>https://orcid.org/0009-0002-7390-5196</orcidid><orcidid>https://orcid.org/0000-0003-0359-8987</orcidid><orcidid>https://orcid.org/0009-0003-7201-4241</orcidid></addata></record> |
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| ispartof | Journal of pediatric surgery, 2024-04, Vol.59 (4), p.610-615 |
| issn | 0022-3468 1531-5037 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2909084731 |
| source | Elsevier ScienceDirect Journals |
| subjects | Hypospadias Meatus Urethral stricture Urethrocutaneous fistula Urethroplasty Uroflowmetry |
| title | Advantages of Urethroplasty Terminating at the Corona for Severe Hypospadias: Complications, Uroflowmetry, and Esthetics |
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