Treatment of proximal hypospadias with a tubularized island flap urethroplasty and the onlay technique: A comparative study
Background/Purpose: The onlay island flap urethroplasty was first described in the repair of mid and distal penile hypospadias. Since then, this technique has been increasingly used in more severe cases of hypospadias, because of the complications of tubularized flaps, mainly megaurethra and proxima...
Gespeichert in:
| Veröffentlicht in: | Journal of pediatric surgery 2000-10, Vol.35 (10), p.1453-1455 |
|---|---|
| Hauptverfasser: | , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 1455 |
|---|---|
| container_issue | 10 |
| container_start_page | 1453 |
| container_title | Journal of pediatric surgery |
| container_volume | 35 |
| creator | Castañón, M. Muñoz, E. Carrasco, R. Rodó, J. Morales, L. |
| description | Background/Purpose: The onlay island flap urethroplasty was first described in the repair of mid and distal penile hypospadias. Since then, this technique has been increasingly used in more severe cases of hypospadias, because of the complications of tubularized flaps, mainly megaurethra and proximal anastomotic strictures. The aim of this study was to compare the morbidity of these 2 techniques. Methods: Between April 1994 and December 1998, 80 patients underwent surgical treatment for hypospadias. A tubularized island flap (Duckett technique) was performed in 42 cases, and the onlay island flap technique was used in 38 patients. The authors retrospectively compared the complication rate and type of these 2 procedures. Results: Altogether, fistula was the most frequent complication without any significant difference between the 2 groups (21.4% for Duckett technique and 18.4% for onlay repair; P >.05). However, the anastomotic stricture was much more common in the tubularized flap group (7.14% v 2.63%; P |
| doi_str_mv | 10.1053/jpsu.2000.16412 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_72363747</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0022346800270115</els_id><sourcerecordid>72363747</sourcerecordid><originalsourceid>FETCH-LOGICAL-c371t-e5fcd155baf595249b988c83509a836872f10f9e62c5667d07852c904efaf1bd3</originalsourceid><addsrcrecordid>eNp1kM1rFjEQh4Mo9m317E0Cgrdt87HZ7HorRatQ8FLPIZtM2JTsh0m2dvWfN-v7oidPwwzPDPN7EHpDySUlgl89LGm9ZISUtqkpe4YOVHBaCcLlc3QghLGK1017hs5TeigYl4S-RGe0LFNadwf06z6CziNMGc8OL3F-8qMOeNiWOS3aep3wD58HrHFe-zXo6H-CxT4FPVnsgl7wGiEPcV6CTnnD-zgPgOcp6A1nMMPkv6_wAV9jM4-Ljjr7R8Apr3Z7hV44HRK8PtUL9O3Tx_ubz9Xd19svN9d3leGS5gqEM5YK0WsnOsHqru_a1rRckE63vGklc5S4DhpmRNNIS2QrmOlIDU472lt-gd4f75Z45ZeU1eiTgVAywLwmJRlvuKxlAa-OoIlzShGcWmLRETdFidp9q9232n2rP77LxtvT6bUfwf7jT4IL8O4E6GR0cFFPxqe_nOwYaXaqO1JQNDx6iCoZD5MB6yOYrOzs__vCb6KNnlc</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>72363747</pqid></control><display><type>article</type><title>Treatment of proximal hypospadias with a tubularized island flap urethroplasty and the onlay technique: A comparative study</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals</source><creator>Castañón, M. ; Muñoz, E. ; Carrasco, R. ; Rodó, J. ; Morales, L.</creator><creatorcontrib>Castañón, M. ; Muñoz, E. ; Carrasco, R. ; Rodó, J. ; Morales, L.</creatorcontrib><description>Background/Purpose: The onlay island flap urethroplasty was first described in the repair of mid and distal penile hypospadias. Since then, this technique has been increasingly used in more severe cases of hypospadias, because of the complications of tubularized flaps, mainly megaurethra and proximal anastomotic strictures. The aim of this study was to compare the morbidity of these 2 techniques. Methods: Between April 1994 and December 1998, 80 patients underwent surgical treatment for hypospadias. A tubularized island flap (Duckett technique) was performed in 42 cases, and the onlay island flap technique was used in 38 patients. The authors retrospectively compared the complication rate and type of these 2 procedures. Results: Altogether, fistula was the most frequent complication without any significant difference between the 2 groups (21.4% for Duckett technique and 18.4% for onlay repair; P >.05). However, the anastomotic stricture was much more common in the tubularized flap group (7.14% v 2.63%; P <.05). Moreover, a megaurethra was found only in the Duckett technique group (4.7%). There was no case of chordee recurrence, but 6 patients (15.7%) treated with the onlay technique required urethrolysis including dissection of the chord behind the urethral plate, and in the other 3 patients of the same group (7.9%), a dorsal Nesbit plication also was necessary. In all these cases, the urethroplasty included an island cutaneous flap to provide ventral coverage to the neourethra. Conclusions: The authors conclude that both techniques present similar complications. However, proximal strictures and megaurethra are more common after the Duckett technique. This procedure is of choice in patients with scrotal hypospadias. Conversely, the onlay repair should be completed with other procedures (urethrolysis, dorsal Nesbit plication) to obtain good results in patients with severe degree of chordee. J Pediatr Surg 35:1453-1455. Copyright © 2000 by W.B. Saunders Company.</description><identifier>ISSN: 0022-3468</identifier><identifier>EISSN: 1531-5037</identifier><identifier>DOI: 10.1053/jpsu.2000.16412</identifier><identifier>PMID: 11051149</identifier><identifier>CODEN: JPDSA3</identifier><language>eng</language><publisher>Philadelphia, PA: Elsevier Inc</publisher><subject>Biological and medical sciences ; Child, Preschool ; Duckett procedure ; Humans ; Hypospadias ; Hypospadias - surgery ; Infant ; Male ; Medical sciences ; onlay urethroplasty ; Postoperative Complications ; Reconstructive Surgical Procedures - methods ; Retrospective Studies ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the urinary system ; Surgical Flaps ; Urethra - surgery ; Urogenital Surgical Procedures - methods</subject><ispartof>Journal of pediatric surgery, 2000-10, Vol.35 (10), p.1453-1455</ispartof><rights>2000 W.B. Saunders Company</rights><rights>2001 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c371t-e5fcd155baf595249b988c83509a836872f10f9e62c5667d07852c904efaf1bd3</citedby><cites>FETCH-LOGICAL-c371t-e5fcd155baf595249b988c83509a836872f10f9e62c5667d07852c904efaf1bd3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0022346800270115$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=792069$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11051149$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Castañón, M.</creatorcontrib><creatorcontrib>Muñoz, E.</creatorcontrib><creatorcontrib>Carrasco, R.</creatorcontrib><creatorcontrib>Rodó, J.</creatorcontrib><creatorcontrib>Morales, L.</creatorcontrib><title>Treatment of proximal hypospadias with a tubularized island flap urethroplasty and the onlay technique: A comparative study</title><title>Journal of pediatric surgery</title><addtitle>J Pediatr Surg</addtitle><description>Background/Purpose: The onlay island flap urethroplasty was first described in the repair of mid and distal penile hypospadias. Since then, this technique has been increasingly used in more severe cases of hypospadias, because of the complications of tubularized flaps, mainly megaurethra and proximal anastomotic strictures. The aim of this study was to compare the morbidity of these 2 techniques. Methods: Between April 1994 and December 1998, 80 patients underwent surgical treatment for hypospadias. A tubularized island flap (Duckett technique) was performed in 42 cases, and the onlay island flap technique was used in 38 patients. The authors retrospectively compared the complication rate and type of these 2 procedures. Results: Altogether, fistula was the most frequent complication without any significant difference between the 2 groups (21.4% for Duckett technique and 18.4% for onlay repair; P >.05). However, the anastomotic stricture was much more common in the tubularized flap group (7.14% v 2.63%; P <.05). Moreover, a megaurethra was found only in the Duckett technique group (4.7%). There was no case of chordee recurrence, but 6 patients (15.7%) treated with the onlay technique required urethrolysis including dissection of the chord behind the urethral plate, and in the other 3 patients of the same group (7.9%), a dorsal Nesbit plication also was necessary. In all these cases, the urethroplasty included an island cutaneous flap to provide ventral coverage to the neourethra. Conclusions: The authors conclude that both techniques present similar complications. However, proximal strictures and megaurethra are more common after the Duckett technique. This procedure is of choice in patients with scrotal hypospadias. Conversely, the onlay repair should be completed with other procedures (urethrolysis, dorsal Nesbit plication) to obtain good results in patients with severe degree of chordee. J Pediatr Surg 35:1453-1455. Copyright © 2000 by W.B. Saunders Company.</description><subject>Biological and medical sciences</subject><subject>Child, Preschool</subject><subject>Duckett procedure</subject><subject>Humans</subject><subject>Hypospadias</subject><subject>Hypospadias - surgery</subject><subject>Infant</subject><subject>Male</subject><subject>Medical sciences</subject><subject>onlay urethroplasty</subject><subject>Postoperative Complications</subject><subject>Reconstructive Surgical Procedures - methods</subject><subject>Retrospective Studies</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the urinary system</subject><subject>Surgical Flaps</subject><subject>Urethra - surgery</subject><subject>Urogenital Surgical Procedures - methods</subject><issn>0022-3468</issn><issn>1531-5037</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kM1rFjEQh4Mo9m317E0Cgrdt87HZ7HorRatQ8FLPIZtM2JTsh0m2dvWfN-v7oidPwwzPDPN7EHpDySUlgl89LGm9ZISUtqkpe4YOVHBaCcLlc3QghLGK1017hs5TeigYl4S-RGe0LFNadwf06z6CziNMGc8OL3F-8qMOeNiWOS3aep3wD58HrHFe-zXo6H-CxT4FPVnsgl7wGiEPcV6CTnnD-zgPgOcp6A1nMMPkv6_wAV9jM4-Ljjr7R8Apr3Z7hV44HRK8PtUL9O3Tx_ubz9Xd19svN9d3leGS5gqEM5YK0WsnOsHqru_a1rRckE63vGklc5S4DhpmRNNIS2QrmOlIDU472lt-gd4f75Z45ZeU1eiTgVAywLwmJRlvuKxlAa-OoIlzShGcWmLRETdFidp9q9232n2rP77LxtvT6bUfwf7jT4IL8O4E6GR0cFFPxqe_nOwYaXaqO1JQNDx6iCoZD5MB6yOYrOzs__vCb6KNnlc</recordid><startdate>20001001</startdate><enddate>20001001</enddate><creator>Castañón, M.</creator><creator>Muñoz, E.</creator><creator>Carrasco, R.</creator><creator>Rodó, J.</creator><creator>Morales, L.</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><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>20001001</creationdate><title>Treatment of proximal hypospadias with a tubularized island flap urethroplasty and the onlay technique: A comparative study</title><author>Castañón, M. ; Muñoz, E. ; Carrasco, R. ; Rodó, J. ; Morales, L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c371t-e5fcd155baf595249b988c83509a836872f10f9e62c5667d07852c904efaf1bd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>Biological and medical sciences</topic><topic>Child, Preschool</topic><topic>Duckett procedure</topic><topic>Humans</topic><topic>Hypospadias</topic><topic>Hypospadias - surgery</topic><topic>Infant</topic><topic>Male</topic><topic>Medical sciences</topic><topic>onlay urethroplasty</topic><topic>Postoperative Complications</topic><topic>Reconstructive Surgical Procedures - methods</topic><topic>Retrospective Studies</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the urinary system</topic><topic>Surgical Flaps</topic><topic>Urethra - surgery</topic><topic>Urogenital Surgical Procedures - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Castañón, M.</creatorcontrib><creatorcontrib>Muñoz, E.</creatorcontrib><creatorcontrib>Carrasco, R.</creatorcontrib><creatorcontrib>Rodó, J.</creatorcontrib><creatorcontrib>Morales, L.</creatorcontrib><collection>Pascal-Francis</collection><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>Castañón, M.</au><au>Muñoz, E.</au><au>Carrasco, R.</au><au>Rodó, J.</au><au>Morales, L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Treatment of proximal hypospadias with a tubularized island flap urethroplasty and the onlay technique: A comparative study</atitle><jtitle>Journal of pediatric surgery</jtitle><addtitle>J Pediatr Surg</addtitle><date>2000-10-01</date><risdate>2000</risdate><volume>35</volume><issue>10</issue><spage>1453</spage><epage>1455</epage><pages>1453-1455</pages><issn>0022-3468</issn><eissn>1531-5037</eissn><coden>JPDSA3</coden><abstract>Background/Purpose: The onlay island flap urethroplasty was first described in the repair of mid and distal penile hypospadias. Since then, this technique has been increasingly used in more severe cases of hypospadias, because of the complications of tubularized flaps, mainly megaurethra and proximal anastomotic strictures. The aim of this study was to compare the morbidity of these 2 techniques. Methods: Between April 1994 and December 1998, 80 patients underwent surgical treatment for hypospadias. A tubularized island flap (Duckett technique) was performed in 42 cases, and the onlay island flap technique was used in 38 patients. The authors retrospectively compared the complication rate and type of these 2 procedures. Results: Altogether, fistula was the most frequent complication without any significant difference between the 2 groups (21.4% for Duckett technique and 18.4% for onlay repair; P >.05). However, the anastomotic stricture was much more common in the tubularized flap group (7.14% v 2.63%; P <.05). Moreover, a megaurethra was found only in the Duckett technique group (4.7%). There was no case of chordee recurrence, but 6 patients (15.7%) treated with the onlay technique required urethrolysis including dissection of the chord behind the urethral plate, and in the other 3 patients of the same group (7.9%), a dorsal Nesbit plication also was necessary. In all these cases, the urethroplasty included an island cutaneous flap to provide ventral coverage to the neourethra. Conclusions: The authors conclude that both techniques present similar complications. However, proximal strictures and megaurethra are more common after the Duckett technique. This procedure is of choice in patients with scrotal hypospadias. Conversely, the onlay repair should be completed with other procedures (urethrolysis, dorsal Nesbit plication) to obtain good results in patients with severe degree of chordee. J Pediatr Surg 35:1453-1455. Copyright © 2000 by W.B. Saunders Company.</abstract><cop>Philadelphia, PA</cop><pub>Elsevier Inc</pub><pmid>11051149</pmid><doi>10.1053/jpsu.2000.16412</doi><tpages>3</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0022-3468 |
| ispartof | Journal of pediatric surgery, 2000-10, Vol.35 (10), p.1453-1455 |
| issn | 0022-3468 1531-5037 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_72363747 |
| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Biological and medical sciences Child, Preschool Duckett procedure Humans Hypospadias Hypospadias - surgery Infant Male Medical sciences onlay urethroplasty Postoperative Complications Reconstructive Surgical Procedures - methods Retrospective Studies Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the urinary system Surgical Flaps Urethra - surgery Urogenital Surgical Procedures - methods |
| title | Treatment of proximal hypospadias with a tubularized island flap urethroplasty and the onlay technique: A comparative study |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-28T22%3A12%3A27IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Treatment%20of%20proximal%20hypospadias%20with%20a%20tubularized%20island%20flap%20urethroplasty%20and%20the%20onlay%20technique:%20A%20comparative%20study&rft.jtitle=Journal%20of%20pediatric%20surgery&rft.au=Casta%C3%B1%C3%B3n,%20M.&rft.date=2000-10-01&rft.volume=35&rft.issue=10&rft.spage=1453&rft.epage=1455&rft.pages=1453-1455&rft.issn=0022-3468&rft.eissn=1531-5037&rft.coden=JPDSA3&rft_id=info:doi/10.1053/jpsu.2000.16412&rft_dat=%3Cproquest_cross%3E72363747%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=72363747&rft_id=info:pmid/11051149&rft_els_id=S0022346800270115&rfr_iscdi=true |