کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4164150 1274330 2008 8 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
A new algorithm for management of chordee without hypospadias based on mobilization of urethra
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی پریناتولوژی (پزشکی مادر و جنین)، طب اطفال و بهداشت کودک
پیش نمایش صفحه اول مقاله
A new algorithm for management of chordee without hypospadias based on mobilization of urethra
چکیده انگلیسی

ObjectiveTo assess the feasibility of chordee correction by mobilization of urethra with corpus spongiosum, and define the guidelines for management of chordee without hypospadias.Patients and methodsWe reviewed 25 cases of chordee without hypospadias, managed in 1992–2005. Age of patients ranged from 3 to 28 years (mean 14.4 years). Chordee correction was performed on a case-by-case basis by skin de-gloving, mobilization of divergent corpus spongiosum, mobilization of hypoplastic urethra, mobilization of proximal urethra up to bulbar urethra, dorsal plication and division/resection of hypoplastic urethra with main emphasis on mobilization of urethra, and confirmed by Gittes test.ResultsChordee correction was possible by mobilization of urethra after penile degloving in 76% of cases and dorsal plication after urethral mobilization in 8%. Only 16% required division/resection of hypoplastic urethra. None of them had residual chordee in follow-up period of 6 months–3 years (mean of 26 months). After fistula repair and internal urethrotomy in one patient each, a second surgery had 100% success.ConclusionsWe propose an algorithm based on mobilization of urethra that defines the etiology and guidelines for the management of chordee without hypospadias.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Pediatric Urology - Volume 4, Issue 1, February 2008, Pages 43–50
نویسندگان
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