کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4162578 1274284 2012 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Outcomes in distal hypospadias: A systematic review of the Mathieu and tubularized incised plate repairs
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی پریناتولوژی (پزشکی مادر و جنین)، طب اطفال و بهداشت کودک
پیش نمایش صفحه اول مقاله
Outcomes in distal hypospadias: A systematic review of the Mathieu and tubularized incised plate repairs
چکیده انگلیسی

AimTo compare complication rates after distal hypospadias surgery using the tubularized incised plate (TIP) and Mathieu techniques.MethodsFor this meta-analysis, the Medline (1990–2009), Embase (1990–2009) and Cochrane databases were searched using the keyword ‘hypospadias’. Inclusion criteria were: i) primary repairs; ii) distal hypospadias; iii) paediatric case series; iv) standard Mathieu and TIP techniques; v) complication data obtainable from the paper. Cases were only included in the denominator for each complication if explicitly identified in the paper. Fisher’s exact was used for statistical analysis, with P < 0.05 considered significant.Main results129 papers were selected for full analysis; 23 papers met the inclusion criteria comprising 1872 TIP repairs and 1496 Mathieu repairs. We identified an increased incidence of urethral fistulae with the Mathieu technique (3.8% vs 5.3%, P = 0.028); however, this is lost on subgroup analysis. An increased incidence of meatal stenosis was identified in the TIP group (3.1% vs 0.7%, P < 0.001).ConclusionsThere is no clear consensus on the ideal method of repair for distal hypospadias. Both the Mathieu and TIP techniques have been shown to have low rates of postoperative complications. Comparison between series is difficult because of a lack of consistency in reporting complications and follow up. We advocate uniform standards for reporting outcomes of hypospadias.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Pediatric Urology - Volume 8, Issue 3, June 2012, Pages 307–312
نویسندگان
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