Dissertation
Year 2021,
Volume: 7 Issue: 2, 29 - 41, 30.08.2021
Abstract
ÖZET
AMAÇ
Bu çalışmada hipospadias tanısı konulan ve tubularize insize üretroplasti (TIPU) tekniği ile ameliyat edilen hastalarda, üroflowmetri kullanılarak ölçülen postoperatif komplikasyonlar, kozmetik durum ve üretral fonksiyonlar değerlendirildi.
METODOLOJİ
Ocak 2008-Kasım 2011 tarihleri arasında hipospadias tanısı alan ve TIPU işlemi uygulanan 174 hastanın retrospektif analizi yapıldı. Hastalar hipospadias tipi, tanı ve ameliyat yaşı, ameliyat sonrası erken komplikasyonlar, idrara çıkma şekli, kontrol grubu ile karşılaştırıldı. Kordi, penis uzunluğu ve üretral meatus çapının varlığı, ayrıca penis başının şekli ve cildin görünümü değerlendirildi.
SONUÇLAR
TIPU yöntemi ile hipospadias cerrahisi sonrası erken komplikasyon oranı %11.8 idi. Hasta ve kontrol gruplarının üroflovmetrik değerlendirmesinde yaş, maksimum akış hızı, hacim, idrara çıkma süresi veya ortalama akış hızında herhangi bir farklılık tespit edilmedi. Kontrol grubunda ortalama penis uzunluğu ( 6,42 : 5,94 ) ve dış mera çapı (10,13 : 9,87 ) daha uzun olmasına rağmen istatistiksel olarak anlamlı bulunmadı (p>0,05). Ancak hasta grubunun (22.87 ± 15.09 ml/sn.) kontrol grubuna (15.03 ± 9.48) göre anlamlı olarak daha uzun bir akış süresi vardı (p = 0.019) ve nomogram tiplerinin değerlendirilmesi, plato paterni daha fazla olduğunu gösterdi. hasta grubunda (çan eğrisi %40.0 / plato %60,0) kontrol grubuna göre (çan eğrisi %83,3 / plato %16,7) yaygındır. Hastaların kozmetik değerlendirmesi, penis uzunluğu ve meatus çapına göre persentil dağılımı kullanılarak yapıldı. İki grup arasında anlamlı bir fark bulunamadı.
TIPU prosedürü, düşük komplikasyon oranı ve yüksek kozmetik sonuçlar ile ilişkilidir. Sonuç olarak, istatistiksel anlamlılık olmamasına rağmen, penis uzunluğu ve çapı kontrol grubuna göre daha kısaydı ve neo-üretranın işeme paterninde ve akışında negatif değişiklikler vardı. Üroflovmetri sonucunda , ameliyat edilen hastalarda obstrüktif paternde bir üretral akış saptansa da , çoğu hastada bu durum tedavi gerektirmez.
Keywords
Supporting Institution
Marmara Üniversitesi Tıp Fakültesi Çocuk Cerrahisi Anabilim Dalı
Project Number
Uzmanlık tezi
References
- Referans1. Djakovic N, Nyarangi J, Ozturk A, M.Hohenfellner (2008) Hypospadias. Advances in Urology Volume 2008, Article ID 650135, 7 pages
- Referans2. Horton CE, Devine CJ, Baran N (1973) Pictorial history of hypospadias repair tecniquues. Plastic and Reconstructive Surgery of the Genital Area 18: 237-243
- Mehmet Şerif Arslan, Ersin Köksal, Turan Yıldız, Leyla Tekşan Özalp, Cengiz Kaya (2013) The most preferable method for distal hypospadias surgery: TIPU Technique Journal of Experimental and Clinical Medicine 30:23-25
- Referans 3. Sybre P. Rynja, Gerlof A. Wouters, Maaike Van Schaijk, Ester T. Kok, Tom P. De Jong and Laetitia M. De Kort (2009) Long-term followup of hypospadias: Functional and Cosmetic Results, J Urol 182:1736-1743
- Referans 4. S. P. Rynja, T. P. V. M. de Jong, J. L. H. R. Bosch, L. M. O. de Korty (2011) Functional, cosmetic and pschosexual results in adult men who underwent hypospadias correction in childhood .J Ped Uro 5:504-515
- Referans5. Espinosa GB,1 Muñoz-Islas EI (2010) Hypospadias treatment; five-year clinical experience. Rev Mex Urol 70(3):152-156
- Referans 6. Baskin LS (2010) Hypospadias and ürethral development. J Urol 163: 951-956
- Referans 7. Ahmed T. Hadidi (2017) History of hypospadias: Lost in translation. J Pediatr Surg 52(2):211-217
- Referans 8. Andersson M, Doroszkiewicz M, Arfwidsson C, Abrahamsson K, Holmdahl G (2011) Hypospadias repair with ubularized incised plate: Does the obstructive flow pattern resolve spontaneously?,J Urol 7: 441-445
- Referans9. Hashish, A., Al Balushi, A., Haridi, K. and Al-Busaidi (2017) Hypospadias Repair and Its Complications at the Plastic Surgery Department, Khoula Hospital. Modern Plastic Surgery 7:13-19.
- Referans 10. Ahmed Khairi (2012) Snodgrass repair for distal hypospadias: a review of 75 cases. Ann Pediatr Surg 8:12–14
- Referans 11. Pfistermuller KL, McArdle AJ, Cuckow PM. 2015 Meta-analysis of complication rates of the tubularized incised plate (TIP) repair. J Pediatr Urol. 11(2):54-9
- Referans12. Hueber PA, Antczak C, Abdo A, Franc-Guimond J, Barrieras D, Houle AM (2015) Long-term functional outcomes of distal hypospadias repair: a single center retrospective comparative study of TIPs, Mathieu and MAGPI. J Pediatr Urol. 11(2):68-75
- Referans 13. Eric A. Kurzrock ( 2008) How do we measure hypospadias outcomes?. J Urol 180:808-2008
- Referans 14. Rajat Piplani, Satish K. Aggarwal, Simmi K (2018) Role of uroflowmetry before and after hypospadias repair. Urol Ann 10(1):52-58
- Referans15. Hisham M Hammaudo, Alaa El Ghoneimi, Darius J. Baglı, Gordon A. Mclorie, Antoine E. Khoury (2003) Tubularized incised plate repair:Functinal outcome after intermediate folowup. J Urol 169: 331-333
- Referans 16. Malyon A.D., Boorman J. G. , Bowley N. (1997) Urinary flow rates in hypospadias. British Journal of Plastic Surgery 50: 530-535
- Referans17. Garibay JT, Reid C, Gonzalez R (1995) Functional evaluation of the result of hypospadias surgery with uroflowmetry. J Urol 154:835-6.
- Referans18. Snodgrass WT (1999) Does tabularized incised plate hypospadias repair create neourethral strictures?. J Urol 162: 1159- 1999
- Referans 19. Marte A, Di Iorio G, De Pasquale M, Cotrufo AM, Di Melio D (2001) Functional evaluation of tubularized incised plate repair of midshaft-proximal hypospadias using uroflowmetry. BJU Int 87: 540
- Referans20. Yaser El-Hout, Darius J Bagli, Walid A. Farhad (2009) A longitudinal observational study of flow rate ( FR. parameters in a complication free distal hypospadias cohort following tubularized incised plate repair. J Urol 181: 113-114
- Referans 21. Heshmat Haroun SW (2018) Pathoembryology of hypospadias and chordee. MOJ Anat Physiol V(5): Issue 1
- Referans23 . Gurdal M, Tekin A, Kirec¸c¸i S, Sengo¨r F (2004) Intermediate-term functional and cosmetic results of the Snodgrass procedurein distal and midpenile hypospadias. Pediatr Surg Int 20:197–199
- Referans24. Wolffenbuttel KP, Wondergem N, Hoefnagels JJ, Dieleman GC, Pel JJ, Passchier BT (2006) Abnormal urine flow in boys with distal hypospadias before and after correction. J Urol 176:1733–6
- Referans25. Weber DM, Schönbucher VB, Landolt MA, Gobet R (2008) The Pediatric Penile Perception Score: an instrument for patient self-assessment and surgeon evaluation after hypospadias repair. J Urol 180(3):1080-4
- Referans26. Eric A. Kurzrock (2008) How do we measure hypospadias outcomes?. J Urol 180: 808
- Referans27. Sarhan O, Saad M, Helmy T, Hafez A (2009) Effect ofsuturing technique and urethral plate characteristicson complication rate following hypospadias repair: aprospective randomized study. J Urol 182:682-5.
- Referans28. Snodgrass W. (1994) Tubularized incised plate urethroplastyfor distal hypospadias. J Urol 151:464-5.
- Referans29. Bleustein CB, Esposito MP, Soslow RA, Felsen D, Poppas DP (2001) Mechanism of healing following the Snodgrass repair 165(1):277-9.
- Referans30. Ulman İ, Erikci V, Avanoglu A, Gökdemir A (1997) The effect of suturing technique and material on complicationrate following hypospadiyas repair. Eur J PediatrSurg 7:156-7
- Referans31. Sarhan O, Saad M, Helmy T, Hafez A (2009) Effect ofsuturing technique and urethral plate characteristicson complication rate following hypospadias repair: aprospective randomized study. J Urol 182:682-5.
- Referans32. Archika Gupta , Rajesh Gupta , Punit Srivastav , Ankush Gupta (2017) Comparison of interrupted- and continuous-suture urethroplasty in tubularised incised-plate hypospadias repair: A prospective study . Arab J Urol 15: 312–318
THE EFFECT OF PENİL LENGTH TO THE SURGICAL RESULTS OF HYPOSPADIAS REPAIRED USING THE SNODGRASS TECHNIQUE
Abstract
Project Number
Uzmanlık tezi
References
- Referans1. Djakovic N, Nyarangi J, Ozturk A, M.Hohenfellner (2008) Hypospadias. Advances in Urology Volume 2008, Article ID 650135, 7 pages
- Referans2. Horton CE, Devine CJ, Baran N (1973) Pictorial history of hypospadias repair tecniquues. Plastic and Reconstructive Surgery of the Genital Area 18: 237-243
- Mehmet Şerif Arslan, Ersin Köksal, Turan Yıldız, Leyla Tekşan Özalp, Cengiz Kaya (2013) The most preferable method for distal hypospadias surgery: TIPU Technique Journal of Experimental and Clinical Medicine 30:23-25
- Referans 3. Sybre P. Rynja, Gerlof A. Wouters, Maaike Van Schaijk, Ester T. Kok, Tom P. De Jong and Laetitia M. De Kort (2009) Long-term followup of hypospadias: Functional and Cosmetic Results, J Urol 182:1736-1743
- Referans 4. S. P. Rynja, T. P. V. M. de Jong, J. L. H. R. Bosch, L. M. O. de Korty (2011) Functional, cosmetic and pschosexual results in adult men who underwent hypospadias correction in childhood .J Ped Uro 5:504-515
- Referans5. Espinosa GB,1 Muñoz-Islas EI (2010) Hypospadias treatment; five-year clinical experience. Rev Mex Urol 70(3):152-156
- Referans 6. Baskin LS (2010) Hypospadias and ürethral development. J Urol 163: 951-956
- Referans 7. Ahmed T. Hadidi (2017) History of hypospadias: Lost in translation. J Pediatr Surg 52(2):211-217
- Referans 8. Andersson M, Doroszkiewicz M, Arfwidsson C, Abrahamsson K, Holmdahl G (2011) Hypospadias repair with ubularized incised plate: Does the obstructive flow pattern resolve spontaneously?,J Urol 7: 441-445
- Referans9. Hashish, A., Al Balushi, A., Haridi, K. and Al-Busaidi (2017) Hypospadias Repair and Its Complications at the Plastic Surgery Department, Khoula Hospital. Modern Plastic Surgery 7:13-19.
- Referans 10. Ahmed Khairi (2012) Snodgrass repair for distal hypospadias: a review of 75 cases. Ann Pediatr Surg 8:12–14
- Referans 11. Pfistermuller KL, McArdle AJ, Cuckow PM. 2015 Meta-analysis of complication rates of the tubularized incised plate (TIP) repair. J Pediatr Urol. 11(2):54-9
- Referans12. Hueber PA, Antczak C, Abdo A, Franc-Guimond J, Barrieras D, Houle AM (2015) Long-term functional outcomes of distal hypospadias repair: a single center retrospective comparative study of TIPs, Mathieu and MAGPI. J Pediatr Urol. 11(2):68-75
- Referans 13. Eric A. Kurzrock ( 2008) How do we measure hypospadias outcomes?. J Urol 180:808-2008
- Referans 14. Rajat Piplani, Satish K. Aggarwal, Simmi K (2018) Role of uroflowmetry before and after hypospadias repair. Urol Ann 10(1):52-58
- Referans15. Hisham M Hammaudo, Alaa El Ghoneimi, Darius J. Baglı, Gordon A. Mclorie, Antoine E. Khoury (2003) Tubularized incised plate repair:Functinal outcome after intermediate folowup. J Urol 169: 331-333
- Referans 16. Malyon A.D., Boorman J. G. , Bowley N. (1997) Urinary flow rates in hypospadias. British Journal of Plastic Surgery 50: 530-535
- Referans17. Garibay JT, Reid C, Gonzalez R (1995) Functional evaluation of the result of hypospadias surgery with uroflowmetry. J Urol 154:835-6.
- Referans18. Snodgrass WT (1999) Does tabularized incised plate hypospadias repair create neourethral strictures?. J Urol 162: 1159- 1999
- Referans 19. Marte A, Di Iorio G, De Pasquale M, Cotrufo AM, Di Melio D (2001) Functional evaluation of tubularized incised plate repair of midshaft-proximal hypospadias using uroflowmetry. BJU Int 87: 540
- Referans20. Yaser El-Hout, Darius J Bagli, Walid A. Farhad (2009) A longitudinal observational study of flow rate ( FR. parameters in a complication free distal hypospadias cohort following tubularized incised plate repair. J Urol 181: 113-114
- Referans 21. Heshmat Haroun SW (2018) Pathoembryology of hypospadias and chordee. MOJ Anat Physiol V(5): Issue 1
- Referans23 . Gurdal M, Tekin A, Kirec¸c¸i S, Sengo¨r F (2004) Intermediate-term functional and cosmetic results of the Snodgrass procedurein distal and midpenile hypospadias. Pediatr Surg Int 20:197–199
- Referans24. Wolffenbuttel KP, Wondergem N, Hoefnagels JJ, Dieleman GC, Pel JJ, Passchier BT (2006) Abnormal urine flow in boys with distal hypospadias before and after correction. J Urol 176:1733–6
- Referans25. Weber DM, Schönbucher VB, Landolt MA, Gobet R (2008) The Pediatric Penile Perception Score: an instrument for patient self-assessment and surgeon evaluation after hypospadias repair. J Urol 180(3):1080-4
- Referans26. Eric A. Kurzrock (2008) How do we measure hypospadias outcomes?. J Urol 180: 808
- Referans27. Sarhan O, Saad M, Helmy T, Hafez A (2009) Effect ofsuturing technique and urethral plate characteristicson complication rate following hypospadias repair: aprospective randomized study. J Urol 182:682-5.
- Referans28. Snodgrass W. (1994) Tubularized incised plate urethroplastyfor distal hypospadias. J Urol 151:464-5.
- Referans29. Bleustein CB, Esposito MP, Soslow RA, Felsen D, Poppas DP (2001) Mechanism of healing following the Snodgrass repair 165(1):277-9.
- Referans30. Ulman İ, Erikci V, Avanoglu A, Gökdemir A (1997) The effect of suturing technique and material on complicationrate following hypospadiyas repair. Eur J PediatrSurg 7:156-7
- Referans31. Sarhan O, Saad M, Helmy T, Hafez A (2009) Effect ofsuturing technique and urethral plate characteristicson complication rate following hypospadias repair: aprospective randomized study. J Urol 182:682-5.
- Referans32. Archika Gupta , Rajesh Gupta , Punit Srivastav , Ankush Gupta (2017) Comparison of interrupted- and continuous-suture urethroplasty in tubularised incised-plate hypospadias repair: A prospective study . Arab J Urol 15: 312–318
There are 32 citations in total.
Details
| Primary Language | English |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Research Article |
| Authors | |
| Project Number | Uzmanlık tezi |
| Publication Date | August 30, 2021 |
| Published in Issue | Year 2021 Volume: 7 Issue: 2 |
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