THE CHOICE OF METHOD OF URETHROPLASTY IN PATIENTS WITH DISTAL AND MIDDLE HYPOSPADIAS
- Authors: Rudin Y.E1, Marukhnenko D.V1, Garmanova T.N1, Sayedov K.M1
-
Affiliations:
- Issue: No 1 (2013)
- Pages: 92-96
- Section: Articles
- URL: https://journals.eco-vector.com/1728-2985/article/view/279697
- ID: 279697
Cite item
Open Access
Access granted
Abstract
Retrospective analysis of results of the most frequently used methods of urethroplasty: urethroplasty using tubularized dissected urethral area (TIP), urethroplasty using tubularized dissected urethral area with inset the free flap of the foreskin (GTIP) and Mathieu surgery in patients with coronary, distal and middle hypospadias (in primary and recurrent surgery), was performed. From 2005 to 2010, 300 patients aged 7 months to 19 years underwent the surgery. There were no early postoperative complications in any patient, with the exception of early accidental removal of the catheter in 4 patients. Long-term results of one-stage correction of hypospadias were followed-up during period of 6 months to 4 years. Late complications included urethral fistula and stenosis. Analysis of the results of operations led to the conclusion that the TIP urethroplasty with Snodgrass modification can be performed as either primary or recurrent surgery in case of normal size of balanus and urethral area. However, in case of changes in the urethral area, scarring and small sizes of balanus, appropriate surgery is Mathieu operation.
Full Text
About the authors
Yu. E Rudin
D. V Marukhnenko
T. N Garmanova
Email: tatianagarmanova@gmail.com
K. M Sayedov
References
- Продеус П.П., Староверов О.В. Гипоспадия. М., 2003:77-78.
- Hadidi A.T., Azmy A.F. Hypospadias Surgery. Two-stage Urethroplasty. Springer. 2004:223-235.
- Ашкрафт К.У., Холдер Т.М. Детская хирургия. Лечение гипоспадии. СПб.,1999:37-38.
- Рудин Ю.Э., Алексеев Е.Б. Способ лечения дистальной гипоспадии у детей. Урология и нефрология. 1997;3:41-43.
- Рудин Ю.Э. Модификация операции Hodgson III как вариант одномоментной пластики при лечении проксимальной гипоспадии. Урология. 2000;6:46-48.
- Рудин Ю.Э., Руненко В.И., Макеев Р.Н. Лечение деформации кавернозных тел в детском возрасте. Детская хирургия. 2008;6:42-47.
- Савченко Е. Гипоспадия и гермафродитизм. Минск: Баларусь, 1974;191.
- Ferro F., Vallasciani S., Borsellino A. et al. Snodgrass urethroplasty: grafting the incised plate - 10 years later. J. Urol. 2009;182(4 Suppl):1730-1734.
- Mouriquand P.D., Persad R., Sharm S. Hypospadias repair: Current principles and procedures. Br. J. Urol. 1995;75(Suppl. 3):9-22.
- Minevich E., Pecha B.R., Wacksman J. et al. Methieuhypospadias repair: Experiencein 202 patients. J. Urol. 1999;162:2141-2142.
- Hayes M.C., Malone P.S. The use of a dorsal buccal mucosal graft with urethral plate incision (Snodgrass) for hypospadias salvage. BJU Int. 1999;83:508.
- Kolon T.F., Gonzales E.T. Jr. The dorsal inlay graft for hypospadias repair. J. Urol. 2000;163:1941.
- Asanuma H., Satoh H., Shishido S. Dorsal inlay graft urethroplasty for primary hypospadiac repair. Int. J. Urol. 2006; 14: 43.
- Schwentner S., Gozzi C., Lunacek A. et al. Interim outcome of the single stage dorsal inlay skin graft for complex hypospadias reoperations. J. Urol. 2006;175:1872.
- Snodgrass W.T., Lorenzo A. Tubularized incised-plate urethroplasty for hypospadias reoperation. BJU Int. 2002;89:98.
- Imamoğlu M.A., Bakirtaş H. Comparison of two methods -Mmathieu and Snodgrass - in hypospadias repair. Urol. Int. 2003;71(3):251 —254.
- Oswald J., Körner I., Riccabona M. Comparison ofthe perimeatal-based flap (Метью) and the tubularized incised-plate urethroplasty (Snodgrass) in primary distal hypospadias. BJU Int. 2000;85(6):725-727.
Supplementary files
