Tubularized incised plate urethroplasty results in patients with proximal hypospadias
Öz
Objective: To evaluate the results of the patients with primary proximal hypospadias repaired by “tubularized incised plate” urethroplasty (TIPU).
Methods: Thirty-three patients who were operated with TIPU technique in our clinic between 2003-2011 for primary hypospadias with proximal penile and penoscrotal meatus were retrospectively evaluated. Evaluation of the success in this study was, “voiding without fistula”.
Results: Mean age was 6.82±3.07 (1-13). Fifteen patients (45.4%) had penoscrotal and 18 patients (54.6%) had proximal penil meatus. Postoperative success was evaluated with direct vision of voiding at the time of un-catheterization, 2 weeks and 6 months after un-catheterization. Success rates were 5/15 and 10/18 after the first repair in the level penoscrotal and proximal penil, respectively. Overall success rate was 45.5% after the first repair. Patients with urethral fistula after first repair were undergone second repair, success rates were increased to 9/15 and 16/18 in the levels of penoscrotal and proximal penil, respectively. Overall success rate after second repair was 75.8%.
Conclusion: TIPU may be confidently applied for the patients with proximal hypopadias in experienced clinics, if there is not an uretral cordi or/and abnormality in the development of urethral plate.
Key words: Proximal, hypospadias, tubularize incised plate urethroplasty
Anahtar Kelimeler
Kaynakça
- Snodgrass W. Tubularized, incised plate urethroplasty for distal hypospadias. J Urol 1994;151:464-465.
- Guralnick L, al-Shammari A, Williot PE, et al. Outcome of
- hypospadias repair using the tubularized, incised plate urethroplasty.
- Can J Urol 2000;7:986-991.
- Snodgrass W, Koyle M, Manzoni G, et al. Tubularized incised plate hypospadias repair: results of a multicenter experience. J Urol 1996;156:839-841.
- Yang SS, Chen SC, Hsieh CH, et al. Reoperative Snodgrass procedure. J Urol 2001;166:2342-2345.
- Backus LH, Defelice CA. Hypospadias-then and now. Plast Reconstr Surg Transplant Bull 1960;25:146-160.
- King L.R. Hypospadias--a one-stage repair without skin graft based on a new principle: chordee is sometimes produced by the skin alone. J Urol 1970;103:660-662.
Ayrıntılar
Birincil Dil
Türkçe
Konular
-
Bölüm
-
Yazarlar
Yasin Aydoğmuş
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Arif Aydın
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Tolga Karakan
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Mümtaz Dadalı
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Şahin Bağbancı
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Mücahit Kabar
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Melih Sunay
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Ahmet Hasçiçek
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Erim Ersoy
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R. Cankon Germiyanoğlu
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Yayımlanma Tarihi
8 Ocak 2016
Gönderilme Tarihi
8 Ocak 2016
Kabul Tarihi
-
Yayımlandığı Sayı
Yıl 2015 Cilt: 42 Sayı: 4