Iatrogenic hypospadias – a preventable rare complication with two-stage repair with buccal mucosa graft: a case presentation


Citar

Texto integral

Resumo

Urethral catheterization is a common procedure, but it is associated with a number of complications. Iatrogenic hypospadias can rarely occur. There is a limited literature dedicated to this condition. We report a young patient with COVID-19 with iatrogenic hypospadias of grade 3. He was undergone to a two-stage procedure with acceptable outcome. Surgical repair should be offered and performed for young patients to ensure good function with acceptable penile appearance. A surgical treatment will improve psychological, sexual and social outcomes.

Texto integral

Acesso é fechado

Sobre autores

M. Yusof

Hospital Serdang; Hospital Sultan Abdul Aziz Shah UPM

Email: drkhairulasri@gmail.com

Department of Urology; Department of Urology

Malásia, Serdang; Serdang

M. Mohd Sharin

Hospital Serdang; Universiti Putra Malaysia; Hospital Sultan Abdul Aziz Shah UPM

Email: drkhairulasri@gmail.com

Department of Urology; Department of Urology, Faculty of Medicine and Health Sciences; Department of Urology

Malásia, Serdang; Serdang; Serdang

I. Aizat Sabri

Hospital Serdang; Hospital Sultan Abdul Aziz Shah UPM

Email: drkhairulasri@gmail.com

Department of Urology; Department of Urology

Malásia, Serdang; Serdang

A. Jagwani

Hospital Serdang; Hospital Sultan Abdul Aziz Shah UPM

Email: drkhairulasri@gmail.com

Department of Urology; Department of Urology

Malásia, Serdang; Serdang

F. Lee

Hospital Serdang; Universiti Putra Malaysia; Hospital Sultan Abdul Aziz Shah UPM

Email: drkhairulasri@gmail.com

Department of Urology; Department of Urology, Faculty of Medicine and Health Sciences; Department of Urology

Malásia, Serdang; Serdang; Serdang

A. Ahmad Zaidi

Hospital Sultan Abdul Aziz Shah UPM

Email: drkhairulasri@gmail.com

Plastic and Reconstructive Unit, Department of Surgery

Malásia, Serdang

M. Saiful Azli

Hospital Sultan Abdul Aziz Shah UPM

Email: drkhairulasri@gmail.com

Department of Urology

Malásia, Serdang

R. Rishitra

Hospital Sultan Abdul Aziz Shah UPM

Email: drkhairulasri@gmail.com

Department of Urology

Malásia, Serdang

O. Fahmey

Hospital Serdang; Universiti Putra Malaysia; Hospital Sultan Abdul Aziz Shah UPM

Email: drkhairulasri@gmail.com

Department of Urology; Department of Urology, Faculty of Medicine and Health Sciences; Department of Urology

Malásia, Serdang; Serdang; Serdang

C. Lee

Hospital Serdang; Universiti Putra Malaysia; Hospital Sultan Abdul Aziz Shah UPM

Email: drkhairulasri@gmail.com

Department of Urology; Department of Urology, Faculty of Medicine and Health Sciences; Department of Urology

Malásia, Serdang; Serdang; Serdang

M. Khairul-Asri

Hospital Serdang; Universiti Putra Malaysia; Hospital Sultan Abdul Aziz Shah UPM

Autor responsável pela correspondência
Email: drkhairulasri@gmail.com

Department of Urology; Department of Urology, Faculty of Medicine and Health Sciences; Department of Urology

Malásia, Serdang; Serdang; Serdang

Bibliografia

  1. Gujan Garg et al. Unusual complication of prolonged indwelling urinary catheter – iatrogenic hypospadias. J Family Med Prim Care. 2016;5(2):493–494.
  2. Gurwitz J.H. et al. Use of indwelling urinary catheters in nursing homes: implications for quality improvement efforts. J Am Geriatr. Soc. 2016;64: 2204–2209.
  3. Becker В. et al. Iatrogenic hypospadias classification: A new way to classify hypospadias caused by long-term catheterization. Int J Urol 2018;25(11):980–981.
  4. Barnes-Snow Е. et al. Penile laceration from a Foley catheter. J Am Geriatric Soc. 1985;33:712–714.
  5. Larsen T., Hansen B.J. Longitudinal cleavage of the penis, a rare complication seen in paraplegic patients. Int Urol Nephrol. 1989;21:313–316.
  6. Ozbey Н. et al. A closer look at iatrogenic hypospadias A closer look at iatrogenic hypospadias. Andrologia. 2021;53(1): e13803.
  7. Andrews H.O. et al. Iatrogenic hypospadias – A preventable injury? Spinal Cord. International Society of Paraplegia. 1998;36(3):177–180.
  8. Ami Lal Bhat et al. Catheter-induced urethral injury and tubularized urethral plate urethroplasty in such iatrogenic hypospadias. African Journal of Urology. 2020;26:17.
  9. Ozturk H. Iatrogenic hypospadias repair caused by long-term catheterization in a patient with neurogenic bladder: A case report. Pediatr Urol Case Rep. 2019;6(5):111–113.

Arquivos suplementares

Arquivos suplementares
Ação
1. JATS XML
2. Figure 1. Classification of Iatrogenic Hypospadias (Becker et al 2018)

Baixar (51KB)
3. Figure 2. Initial appearance of iatrogenic hypospadias

Baixar (89KB)
4. Figure 3. Proximal penile hypospadias with 4-cm defect

Baixar (94KB)
5. Figure 4. Buccal Mucosa Graft sutured to the urethral plate at 1st stage

Baixar (125KB)
6. Figure 5. Second stage of hypospadias repair

Baixar (113KB)
7. Figure 6. 3-month follow-up

Baixar (110KB)

Este site utiliza cookies

Ao continuar usando nosso site, você concorda com o procedimento de cookies que mantêm o site funcionando normalmente.

Informação sobre cookies