کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4163163 1274300 2010 4 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Outcome analysis of tubularized incised urethral plate using dorsal dartos flap for proximal penile hypospadias repair
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی پریناتولوژی (پزشکی مادر و جنین)، طب اطفال و بهداشت کودک
پیش نمایش صفحه اول مقاله
Outcome analysis of tubularized incised urethral plate using dorsal dartos flap for proximal penile hypospadias repair
چکیده انگلیسی

PurposeTo assess the outcome of tubularized incised plate (TIP) urethroplasty in conjunction with a dorsal dartos flap for primary proximal penile hypospadias.Materials and methodsForty-nine patients with proximal penile hypospadias underwent a one-stage TIP urethroplasty with single-layer closure using polyglactin suture. A dorsal dartos (subcutaneous) flap, harvested from the dorsal penile shaft was used to cover the neourethra ventrally. Glanuloplasty was also performed in all cases. All patients had a well preserved urethral plate after straightening of the penis. Complications and cosmetic appearance were documented during follow-up.ResultsMean patient age at surgery was 23 months (16–72 months). Mean operative time was 180 min (154–240 min). At the mean follow-up of 36 months, the overall complication rate was 12% (4 fistulae, 1 meatal stenosis). Glandular dehiscence occurred in one patient, and 38 patients (78%) required dorsal Nesbit plication. No patient had residual chordee, neourethral stricture or a urethral diverticulum, and the neomeatus with a slit-like appearance was positioned at the glans tip.ConclusionsTIP urethroplasty with dorsal dartos layer covering the neourethra is an effective treatment for primary proximal penile hypospadias with a preserved urethral plate and without severe curvature. There is a good cosmetic outcome with low risk of complications.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Pediatric Urology - Volume 6, Issue 5, October 2010, Pages 477–480
نویسندگان
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