Urethral advancement and glanuloplasty versus tubularized incised plate urethroplasty for distal hypospadias repair: a prospective randomized study

被引:2
作者
Fathi, Basem A. [1 ]
Elgammal, Ahmed A. [1 ]
Ghoneimy, Osama M. [1 ]
Alrefaey, Ahmed A. [1 ]
Abouelgreed, Tamer A. [1 ]
Elhelaly, Mohamed A. [1 ]
El-Agamy, El-Sayed I. [1 ]
机构
[1] Al Azhar Univ, Fac Med, Dept Urol, Cairo, Egypt
关键词
Urethral advancement; TIP; Hypospadias; Pediatrics; MOBILIZATION;
D O I
10.1186/s12894-023-01242-5
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
BackgroundAbout one in 200 to one in 300 male births has hypospadias. The prevalence of this congenital anomaly varies worldwide. The meatus is located distally in approximately 70% of cases. Several surgical techniques were described for distal hypospadias repair; despite this, there is no ideal approach. This study compares urethral advancement &glanuloplasty, and TIP techniques in terms of feasibility, duration of operation, and complications. Patients and.MethodsThis prospective randomized comparative study was conducted at Al-Azhar University Hospitals from April 2022 to October 2022. Fifty-seven cases with different types of hypospadias were assessed for eligibility. Among them, seven cases were excluded due to the presence of severe chordee (n = 3), proximal variant (n = 2), and recurrent cases of hypospadias (n = 2). Fifty cases were randomly divided into two groups using a 1:1 ratio (computer-generated randomization). Twenty-five cases were subjected to urethral advancement and glanuloplasty, and the rest were subjected to tubularized incised plate (TIP) urethroplasty.ResultsThe mean age of all studied cases was 4.2 years. Approximately 52% had coronal or sub-coronal meatus, whereas 48% had glandular meatus. Both groups were matched according to age and meatus location (p > 0.05). No statistically significant difference was observed between the two groups regarding duration of operation, postoperative pain, and postoperative hospital stay. In addition, both groups did not differ significantly in late complications (meatal stenosis, meatal retraction, fistula, and glans dehiscence).ConclusionsBoth urethral advancement &glanuloplasty, and TIP urethroplasty have comparable short-term outcomes. Urethral advancement and glanuloplasty is preferred in certain conditions, especially in circumcised children or those with a narrow urethral plate.
引用
收藏
页数:9
相关论文
共 50 条
[41]   Predictors of successful outcome of tubularized incised plate for primary distal hypospadias repair [J].
Abdelhalim, Khaled M. ;
Abdelwahab, Hassan A. ;
Abdelgawad, Esam ;
Kadry, Ahmed M. ;
Sherief, Mahmoud H. .
AFRICAN JOURNAL OF UROLOGY, 2021, 27 (01)
[42]   The midterm success rates of tubularized incised plate urethroplasty in reoperative patients with distal or midpenile hypospadias [J].
Murat Çakan ;
Fatih Yalçınkaya ;
Fuat Demirel ;
Mustafa Aldemir ;
Uğur Altuğ .
Pediatric Surgery International, 2005, 21 :973-976
[43]   Predictors of successful outcome of tubularized incised plate for primary distal hypospadias repair [J].
Khaled M. Abdelhalim ;
Hassan A. Abdelwahab ;
Esam Abdelgawad ;
Ahmed M. Kadry ;
Mahmoud H. Sherief .
African Journal of Urology, 2021, 27
[44]   The midterm success rates of tubularized incised plate urethroplasty in reoperative patients with distal or midpenile hypospadias [J].
Çakan, M ;
Yalçinkaya, F ;
Demirel, F ;
Aldemir, M ;
Altug, U .
PEDIATRIC SURGERY INTERNATIONAL, 2005, 21 (12) :973-976
[45]   Effect of the depth and width of the urethral plate on tubularized incised plate urethroplasty [J].
Holland, AJA ;
Smith, GHH .
JOURNAL OF UROLOGY, 2000, 164 (02) :489-491
[46]   Role of the urethral plate characters in the success of tubularized incised plate urethroplasty [J].
Aboutaleb, Hamdy .
INDIAN JOURNAL OF PLASTIC SURGERY, 2014, 47 (02) :227-231
[47]   Tubularized incised plate urethroplasty for abortive hypospadiac urethral duplication [J].
Barlas Etensel ;
Mesut Yazıcı ;
Harun Gürsoy ;
Sezen Özkısacık .
Pediatric Surgery International, 2005, 21 :494-496
[48]   Urethral plate in tubularized incised plate urethroplasty: how wide is enough? [J].
Zhang, Bin ;
Ruan, Shuangsui ;
Bi, Yunli .
TRANSLATIONAL ANDROLOGY AND UROLOGY, 2021, 10 (02) :703-709
[49]   Tubularized incised plate urethroplasty for abortive hypospadiac urethral duplication [J].
Etensel, B ;
Yazici, M ;
Gürsoy, H ;
Özkisacik, S .
PEDIATRIC SURGERY INTERNATIONAL, 2005, 21 (06) :494-496
[50]   Tubularized incised plate urethroplasty for hypospadias reoperation: a review and meta-analysis [J].
Mousavi, Seyed A. ;
Aarabi, Mohsen .
INTERNATIONAL BRAZ J UROL, 2014, 40 (05) :588-595