PREPUTIAL RECONSTRUCTION IN SURGICAL CORRECTION OF DISTAL HYPOSPADIA IN CHILDREN
- Authors: Kagantsov I.M1
-
Affiliations:
- Issue: No 2 (2012)
- Pages: 75-78
- Section: Articles
- URL: https://journals.eco-vector.com/1728-2985/article/view/279435
- ID: 279435
Cite item
Open Access
Access granted
Abstract
Treatment for distal hypospadia was conducted in 148 children aged from 11 months to 14 years admitted to the urological department of the Syktyvkar Central Children’s Hospital in 1998-2010. Operation MAGPI was made in 12 (8.8%) children, TIP - in 87 (61.8%), Mathieu - in 15 (11.0%), displacing urethroplasty - in 25 (18.4%). Preputial reconstruction was performed in 29 (21%) children: in 21 in displacing urethroplasty and in 8 in conduction of TIP operation. The number of complications in displacing urethroplasty and TIP is less than in MAGPI and Mathieu operations. Significantly less number of complications was seen only in comparison of TIP with MAGPI. Operations with preputial reconstruction had no such complications as urethral fistula, meatostenosis and separation of the glans penis. Two cases of partial preputial separation after the operation were observed. Thus, preputial reconstruction can be conducted in most children with distal hypospadia, the risk of postoperative complications being the same.
Keywords
Full Text
References
- Продеус П. П., Староверов О. В. Гипоспадия. М.: Федеральное гос. унитарное предприятие "Медсервис" Минздрава России; 2003.
- Duckett J. W., Snyder H. M. The MAGPI hypospadias repair in 1111 patients. Ann. Surg. 1991; 213: 620—625; discuss.: 625—626.
- Snodgrass W., Bush N., Cost N. Tubularized incised plate hypospadias repair for distal hypospadias. J. Pediatr. Urol. 2010; 6: 294—300.
- Савченко Н. Е. Гипоспадия и гермафродитизм. Минск; 1974.
- Snodgrass W., Koyle M., Baskin L., Caldamone A. Foreskin preservation in penile surgery. J. Urol. (Baltimore) 2006; 176: 711—714.
- Righini A. Symposium sur l’hypospadias. Ann. Chir. Infant. 1969; 10: 314.
- Snodgrass W., Khavari R. Prior circumcision does not complicate repair of hypospadias with an intact prepuce J. Urol. (Baltimore) 2006; 176: 296—298.
- Suoub M., Dave S., El-Hout Y. et al. Distal hypospadias repair with or without foreskin reconstruction: A single-surgeon experience. J. Pediatr. Urol. 2008; 4: 377—380.
- Antao B., Lansdale N., Roberts J., Mackinnon E. Factors affecting the outcome of foreskin reconstruction in hypospadias surgery. J. Pediatr. Urol. 2007; 3: 127—131.
- Leclair M., Benyoucef N., Heloury Y. La reconstruction du prepuce dans la chirurgie d’hypospade distal: quelle morbidite? J. Progr. Urol. 2008; 18: 475—479.
- Belloli G. The Mathieu Righini technique for mid-distal hypospadias repair. J. Pediatr. Surg. Int. 1994; 9: 99—102.
- Gray J., Boston V. Glanular reconstruction and preputioplasty repair for distal hypospadias: a unique day-case method to avoid urethral stenting and preserve the prepuce. Br. J. Urol. Int. 2003; 91 (3): 268—270.
- Hayashi Y., Kojima Y., Mizuno K. et al. Modified foreskin reconstruction for distal hypospadias and chordee without hypospadias. Int. J. Urol. 2008; 15: 646—648.
- Mege J., Pelizzo G., Dubois R. et al. Technique de Duplay modifiee dans le traitement de l’hypospadias anterieur. Resultats immediats et a long terme a propos de 321 cas et revue de la literature. J. Progr. Urol. 1999; 9: 1136—1147.
Supplementary files
