Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Fasching, G; Arneitz, C; Gritsch-Olipp, G.
Foreskin reconstruction and preservation of a thin distal urethra: a challenge in tubularized incised plate urethroplasty.
Pediatr Surg Int. 2011; 27(7): 755-760.
Doi: 10.1007/s00383-011-2891-7
Web of Science
PubMed
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- Co-Autor*innen der Med Uni Graz
- Arneitz Christoph
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- Abstract:
- 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. 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. 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. TIPU produces excellent cosmetic and functional results with few complications; complications are more common after foreskin reconstruction and use of a thin distal urethra.
- Find related publications in this database (using NLM MeSH Indexing)
- Adolescent -
- Child, Preschool -
- Follow-Up Studies -
- Foreskin - surgery
- Humans -
- Hypospadias - physiopathology
- Hypospadias - surgery
- Infant -
- Male -
- Postoperative Complications -
- Reconstructive Surgical Procedures - methods
- Retrospective Studies -
- Surveys and Questionnaires -
- Time Factors -
- Urethra - surgery
- Urodynamics -
- Urologic Surgical Procedures, Male - methods
- Find related publications in this database (Keywords)
- Urethroplasty
- Hypospadias
- Foreskin reconstruction
- Pediatric Penile Perception Score
- Hypospadias Objective Scoring Evaluation