Outcome of hypospadias repair in toilet-trained children and adolescents
Purpose To review a leading causes and surgical outcome of hypospadias repair in toilet-trained children and adolescents in our department. Materials and methods Over the period from 1987 to 2010, 84 toilet-trained children and adolescents with a median age of 13 years (range 4–18) underwent hypospa...
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| Veröffentlicht in: | Pediatric surgery international 2012-04, Vol.28 (4), p.429-433 |
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| creator | Kocherov, Stanislav Prat, Dan Koulikov, Dmitry Ioscovich, Alexander Shenfeld, Ofer Z. Farkas, Amicur Chertin, Boris |
| description | Purpose
To review a leading causes and surgical outcome of hypospadias repair in toilet-trained children and adolescents in our department.
Materials and methods
Over the period from 1987 to 2010, 84 toilet-trained children and adolescents with a median age of 13 years (range 4–18) underwent hypospadias repair. Voiding symptoms were a cause for referral in 31(36%) patients, difficulties in self-appraisal or patient desire in 49(55.7%) and 4(4.8%) patients with DSD underwent male genitoplasty as a part of sex reassignment. Of those 43(51.2%) had glanular hypospadias, 36(42.9%) distal and 5(5.9%) had proximal type of hypospadias. Meatoplasty was performed in 18(21.4%) patients, MAGPI in 24(28.6%), Mathieu flip-flap in 20(23.8%), preputial pedicled flap as onlay in 2(2.4%) and as tubularized in 2(2.4%) patients, and TIP procedure was done in 16(19%). Two (2.4%) patients required two stage repair.
Results
Twenty-three (27.4%) developed surgery-related complications such as meatal stenosis in 3(15.5%), breakdown of primary repair in 7(8.3%), and urethral fistula in 13(15.5%) patients, respectively.
Conclusions
There are clear differences in terms of complications rate and overall success compared with the repair in the earlier ages. |
| doi_str_mv | 10.1007/s00383-012-3061-2 |
| format | Article |
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To review a leading causes and surgical outcome of hypospadias repair in toilet-trained children and adolescents in our department.
Materials and methods
Over the period from 1987 to 2010, 84 toilet-trained children and adolescents with a median age of 13 years (range 4–18) underwent hypospadias repair. Voiding symptoms were a cause for referral in 31(36%) patients, difficulties in self-appraisal or patient desire in 49(55.7%) and 4(4.8%) patients with DSD underwent male genitoplasty as a part of sex reassignment. Of those 43(51.2%) had glanular hypospadias, 36(42.9%) distal and 5(5.9%) had proximal type of hypospadias. Meatoplasty was performed in 18(21.4%) patients, MAGPI in 24(28.6%), Mathieu flip-flap in 20(23.8%), preputial pedicled flap as onlay in 2(2.4%) and as tubularized in 2(2.4%) patients, and TIP procedure was done in 16(19%). Two (2.4%) patients required two stage repair.
Results
Twenty-three (27.4%) developed surgery-related complications such as meatal stenosis in 3(15.5%), breakdown of primary repair in 7(8.3%), and urethral fistula in 13(15.5%) patients, respectively.
Conclusions
There are clear differences in terms of complications rate and overall success compared with the repair in the earlier ages.</description><identifier>ISSN: 0179-0358</identifier><identifier>EISSN: 1437-9813</identifier><identifier>DOI: 10.1007/s00383-012-3061-2</identifier><identifier>PMID: 22331204</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer-Verlag</publisher><subject>Adolescent ; Child ; Child, Preschool ; Humans ; Hypospadias - surgery ; Male ; Medicine ; Medicine & Public Health ; Original Article ; Pediatric Surgery ; Pediatrics ; Retrospective Studies ; Surgery ; Toilet Training ; Treatment Outcome</subject><ispartof>Pediatric surgery international, 2012-04, Vol.28 (4), p.429-433</ispartof><rights>Springer-Verlag 2012</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c371t-60dce9c7a93ea4729ac16e7eb34ab06fd237dc77df59c0c35ddd21013c79214b3</citedby><cites>FETCH-LOGICAL-c371t-60dce9c7a93ea4729ac16e7eb34ab06fd237dc77df59c0c35ddd21013c79214b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00383-012-3061-2$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00383-012-3061-2$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27923,27924,41487,42556,51318</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22331204$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kocherov, Stanislav</creatorcontrib><creatorcontrib>Prat, Dan</creatorcontrib><creatorcontrib>Koulikov, Dmitry</creatorcontrib><creatorcontrib>Ioscovich, Alexander</creatorcontrib><creatorcontrib>Shenfeld, Ofer Z.</creatorcontrib><creatorcontrib>Farkas, Amicur</creatorcontrib><creatorcontrib>Chertin, Boris</creatorcontrib><title>Outcome of hypospadias repair in toilet-trained children and adolescents</title><title>Pediatric surgery international</title><addtitle>Pediatr Surg Int</addtitle><addtitle>Pediatr Surg Int</addtitle><description>Purpose
To review a leading causes and surgical outcome of hypospadias repair in toilet-trained children and adolescents in our department.
Materials and methods
Over the period from 1987 to 2010, 84 toilet-trained children and adolescents with a median age of 13 years (range 4–18) underwent hypospadias repair. Voiding symptoms were a cause for referral in 31(36%) patients, difficulties in self-appraisal or patient desire in 49(55.7%) and 4(4.8%) patients with DSD underwent male genitoplasty as a part of sex reassignment. Of those 43(51.2%) had glanular hypospadias, 36(42.9%) distal and 5(5.9%) had proximal type of hypospadias. Meatoplasty was performed in 18(21.4%) patients, MAGPI in 24(28.6%), Mathieu flip-flap in 20(23.8%), preputial pedicled flap as onlay in 2(2.4%) and as tubularized in 2(2.4%) patients, and TIP procedure was done in 16(19%). Two (2.4%) patients required two stage repair.
Results
Twenty-three (27.4%) developed surgery-related complications such as meatal stenosis in 3(15.5%), breakdown of primary repair in 7(8.3%), and urethral fistula in 13(15.5%) patients, respectively.
Conclusions
There are clear differences in terms of complications rate and overall success compared with the repair in the earlier ages.</description><subject>Adolescent</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Humans</subject><subject>Hypospadias - surgery</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original Article</subject><subject>Pediatric Surgery</subject><subject>Pediatrics</subject><subject>Retrospective Studies</subject><subject>Surgery</subject><subject>Toilet Training</subject><subject>Treatment Outcome</subject><issn>0179-0358</issn><issn>1437-9813</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kE1LxDAQhoMoun78AC9S8OApOpO0TXMU8QsWvOg5ZJOpVrpNTdqD_97IqojgaQ7zzDszD2PHCOcIoC4SgGwkBxRcQo1cbLEFllJx3aDcZgtApTnIqtlj-ym9AkAja73L9oSQEgWUC3b3ME8urKkIbfHyPoY0Wt_ZVEQabReLbiim0PU08SnabiBfuJeu95GGwg6-sD70lBwNUzpkO63tEx191QP2dHP9eHXHlw-391eXS-6kwonX4B1pp6yWZEsltHVYk6KVLO0K6tYLqbxTyreVduBk5b0XCCid0gLLlTxgZ5vcMYa3mdJk1l2-oO_tQGFORpeNxvxzncnTP-RrmOOQjzMIuqpUgxVmCjeUiyGlSK0ZY7e28T1D5tOy2Vg22bL5tGxEnjn5Sp5Xa_I_E99aMyA2QMqt4Zni79X_pX4A-QOHDQ</recordid><startdate>20120401</startdate><enddate>20120401</enddate><creator>Kocherov, Stanislav</creator><creator>Prat, Dan</creator><creator>Koulikov, Dmitry</creator><creator>Ioscovich, Alexander</creator><creator>Shenfeld, Ofer Z.</creator><creator>Farkas, Amicur</creator><creator>Chertin, Boris</creator><general>Springer-Verlag</general><general>Springer Nature B.V</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>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20120401</creationdate><title>Outcome of hypospadias repair in toilet-trained children and adolescents</title><author>Kocherov, Stanislav ; Prat, Dan ; Koulikov, Dmitry ; Ioscovich, Alexander ; Shenfeld, Ofer Z. ; Farkas, Amicur ; Chertin, Boris</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c371t-60dce9c7a93ea4729ac16e7eb34ab06fd237dc77df59c0c35ddd21013c79214b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adolescent</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Humans</topic><topic>Hypospadias - surgery</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original Article</topic><topic>Pediatric Surgery</topic><topic>Pediatrics</topic><topic>Retrospective Studies</topic><topic>Surgery</topic><topic>Toilet Training</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kocherov, Stanislav</creatorcontrib><creatorcontrib>Prat, Dan</creatorcontrib><creatorcontrib>Koulikov, Dmitry</creatorcontrib><creatorcontrib>Ioscovich, Alexander</creatorcontrib><creatorcontrib>Shenfeld, Ofer Z.</creatorcontrib><creatorcontrib>Farkas, Amicur</creatorcontrib><creatorcontrib>Chertin, Boris</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database (ProQuest)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Family Health Database (ProQuest)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatric surgery international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kocherov, Stanislav</au><au>Prat, Dan</au><au>Koulikov, Dmitry</au><au>Ioscovich, Alexander</au><au>Shenfeld, Ofer Z.</au><au>Farkas, Amicur</au><au>Chertin, Boris</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Outcome of hypospadias repair in toilet-trained children and adolescents</atitle><jtitle>Pediatric surgery international</jtitle><stitle>Pediatr Surg Int</stitle><addtitle>Pediatr Surg Int</addtitle><date>2012-04-01</date><risdate>2012</risdate><volume>28</volume><issue>4</issue><spage>429</spage><epage>433</epage><pages>429-433</pages><issn>0179-0358</issn><eissn>1437-9813</eissn><abstract>Purpose
To review a leading causes and surgical outcome of hypospadias repair in toilet-trained children and adolescents in our department.
Materials and methods
Over the period from 1987 to 2010, 84 toilet-trained children and adolescents with a median age of 13 years (range 4–18) underwent hypospadias repair. Voiding symptoms were a cause for referral in 31(36%) patients, difficulties in self-appraisal or patient desire in 49(55.7%) and 4(4.8%) patients with DSD underwent male genitoplasty as a part of sex reassignment. Of those 43(51.2%) had glanular hypospadias, 36(42.9%) distal and 5(5.9%) had proximal type of hypospadias. Meatoplasty was performed in 18(21.4%) patients, MAGPI in 24(28.6%), Mathieu flip-flap in 20(23.8%), preputial pedicled flap as onlay in 2(2.4%) and as tubularized in 2(2.4%) patients, and TIP procedure was done in 16(19%). Two (2.4%) patients required two stage repair.
Results
Twenty-three (27.4%) developed surgery-related complications such as meatal stenosis in 3(15.5%), breakdown of primary repair in 7(8.3%), and urethral fistula in 13(15.5%) patients, respectively.
Conclusions
There are clear differences in terms of complications rate and overall success compared with the repair in the earlier ages.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer-Verlag</pub><pmid>22331204</pmid><doi>10.1007/s00383-012-3061-2</doi><tpages>5</tpages></addata></record> |
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| ispartof | Pediatric surgery international, 2012-04, Vol.28 (4), p.429-433 |
| issn | 0179-0358 1437-9813 |
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| subjects | Adolescent Child Child, Preschool Humans Hypospadias - surgery Male Medicine Medicine & Public Health Original Article Pediatric Surgery Pediatrics Retrospective Studies Surgery Toilet Training Treatment Outcome |
| title | Outcome of hypospadias repair in toilet-trained children and adolescents |
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