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- Title
Foreskin reconstruction and preservation of a thin distal urethra: a challenge in tubularized incised plate urethroplasty.
- Authors
Fasching, Gunter; Arneitz, Christoph; Gritsch-Olipp, Gabriele
- Abstract
<bold>Purpose: </bold>The aim of this retrospective study was to evaluate the functional and cosmetic outcome of tubularized incised plate urethroplasty (TIPU) with preputial reconstruction and preservation of a thin distal urethra when applicable.<bold>Methods: </bold>The records of 64 boys with hypospadias, who underwent TIPU between 2000 and 2007 were analyzed. 33 (52%) underwent foreskin reconstruction and a thin distal urethra was preserved and incorporated in 19 (30%) patients. The Hypospadias Objective Scoring Evaluation (HOSE), Pediatric Penile Perception Score (PPPS), and uroflowmetry were evaluated in 55 boys (86%) after a mean of 4.8 years.<bold>Results: </bold>All patients had a vertically oriented meatus. The overall rate of fistula occurrence was 9% and of wound dehiscence, 5%. Among 33 preputial reconstructions, two (6%) patients had dehiscence and three (9%) had a fistula. No cases of stricture or stenosis occurred. There were significantly more complications with reconstruction of the foreskin (p = 0.012) and preservation of a thin distal urethra (p = 0.021). Uroflowmetry was normal in 76% of patients. PPPS and HOSE revealed excellent results.<bold>Conclusion: </bold>TIPU produces excellent cosmetic and functional results with few complications; complications are more common after foreskin reconstruction and use of a thin distal urethra.
- Subjects
URETHROPLASTY; HYPOSPADIAS; FORESKIN; PEDIATRICS; RETROSPECTIVE studies; HEALTH outcome assessment; PENIS surgery; URETHRA surgery; COMPARATIVE studies; UROLOGICAL surgery; LONGITUDINAL method; RESEARCH methodology; MEDICAL cooperation; MEN; RESEARCH; SURGICAL complications; PLASTIC surgery; TIME; URODYNAMICS; EVALUATION research
- Publication
Pediatric Surgery International, 2011, Vol 27, Issue 7, p755
- ISSN
0179-0358
- Publication type
journal article
- DOI
10.1007/s00383-011-2891-7