The long term evaluation of the sexual and voiding functions in adolescents with the tubularized incised plate urethroplasty for distal hypospadias at childhood
Background: hypospadias is a congenital anomaly of the urethra that is seen increasingly in clinical practice. Distal hypospadias is the most common type of this anomaly and a variety of repairs had been used to correct the deformity. The tubularized incised plate urethroplasty (TIP) is one of the w...
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| Format: | Article |
| Language: | English |
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university of basrah
2023-06-01
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| Series: | Basrah Journal of Surgery |
| Subjects: | |
| Online Access: | https://www.iasj.net/iasj/pdf/37896afd39dd2f47 |
| _version_ | 1797776497078960128 |
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| author | Firas Shakir Attar Majid Asgher Mohammed Mohammad Sallama Mohammad |
| author_facet | Firas Shakir Attar Majid Asgher Mohammed Mohammad Sallama Mohammad |
| author_sort | Firas Shakir Attar |
| collection | DOAJ |
| description | Background: hypospadias is a congenital anomaly of the urethra that is seen increasingly in clinical practice. Distal hypospadias is the most common type of this anomaly and a variety of repairs had been used to correct the deformity. The tubularized incised plate urethroplasty (TIP) is one of the widely used techniques for this purpose .The aim of this study was to evaluate the outcome of TIP repair in adolescents regarding sexual and voiding functions.
Materials and methods: A retrospective study including 38 male patients aged 15-16 years was done in multicenter from 2003 to 2020.All the patients were having a distal type of hypospadias which was repaired by TIP repair at childhood. The patients were assessed for the presence of complications and for their voiding function. In addition, they were asked about the occurrence of normal ejaculation.
Results: The mean age at surgery was 2.5 years .The study showed that 10 patients (26.3 %) gave a history of ejaculation with masturbation versus 28 (73.7 %) patients who denied the history of ejaculation. The results showed that urethrocutaneous fistula was seen in 4 patients (10.5 %).Three patients (7.9 %) had meatal stenosis, one patient (2.6 %) had urethral stenosis and another one (2.6%) had persistent chordee.
Conclusion: Snodgrass (TIP) repair is considered as an appealing surgical technique for repair of distal type of hypospadias which accounts for the majority of hypospadias. It has very good results regarding the outcome of surgery even at the long term period. |
| first_indexed | 2024-03-12T22:50:49Z |
| format | Article |
| id | doaj.art-30ffb38fefe14d9c8104d2f4f30f68cd |
| institution | Directory Open Access Journal |
| issn | 1683-3589 2409-501X |
| language | English |
| last_indexed | 2024-03-12T22:50:49Z |
| publishDate | 2023-06-01 |
| publisher | university of basrah |
| record_format | Article |
| series | Basrah Journal of Surgery |
| spelling | doaj.art-30ffb38fefe14d9c8104d2f4f30f68cd2023-07-20T09:16:00Zenguniversity of basrahBasrah Journal of Surgery1683-35892409-501X2023-06-012916875https://doi.org/10.33762/bsurg.2023.132158.1014The long term evaluation of the sexual and voiding functions in adolescents with the tubularized incised plate urethroplasty for distal hypospadias at childhoodFiras Shakir Attar0Majid Asgher Mohammed1Mohammad Sallama Mohammad2College of Medicine, University of Basrahuniversity of Basrah, college of NurseryUrosurgery department , Basrah teaching hospital , Basrah ,IraqBackground: hypospadias is a congenital anomaly of the urethra that is seen increasingly in clinical practice. Distal hypospadias is the most common type of this anomaly and a variety of repairs had been used to correct the deformity. The tubularized incised plate urethroplasty (TIP) is one of the widely used techniques for this purpose .The aim of this study was to evaluate the outcome of TIP repair in adolescents regarding sexual and voiding functions. Materials and methods: A retrospective study including 38 male patients aged 15-16 years was done in multicenter from 2003 to 2020.All the patients were having a distal type of hypospadias which was repaired by TIP repair at childhood. The patients were assessed for the presence of complications and for their voiding function. In addition, they were asked about the occurrence of normal ejaculation. Results: The mean age at surgery was 2.5 years .The study showed that 10 patients (26.3 %) gave a history of ejaculation with masturbation versus 28 (73.7 %) patients who denied the history of ejaculation. The results showed that urethrocutaneous fistula was seen in 4 patients (10.5 %).Three patients (7.9 %) had meatal stenosis, one patient (2.6 %) had urethral stenosis and another one (2.6%) had persistent chordee. Conclusion: Snodgrass (TIP) repair is considered as an appealing surgical technique for repair of distal type of hypospadias which accounts for the majority of hypospadias. It has very good results regarding the outcome of surgery even at the long term period.https://www.iasj.net/iasj/pdf/37896afd39dd2f47distal hypospadias،؛snodgrass repair،؛tubularized incised plate urethroplasty،؛long –term outcome،؛urethrocutaneous fistula |
| spellingShingle | Firas Shakir Attar Majid Asgher Mohammed Mohammad Sallama Mohammad The long term evaluation of the sexual and voiding functions in adolescents with the tubularized incised plate urethroplasty for distal hypospadias at childhood Basrah Journal of Surgery distal hypospadias ،؛snodgrass repair ،؛tubularized incised plate urethroplasty ،؛long –term outcome ،؛urethrocutaneous fistula |
| title | The long term evaluation of the sexual and voiding functions in adolescents with the tubularized incised plate urethroplasty for distal hypospadias at childhood |
| title_full | The long term evaluation of the sexual and voiding functions in adolescents with the tubularized incised plate urethroplasty for distal hypospadias at childhood |
| title_fullStr | The long term evaluation of the sexual and voiding functions in adolescents with the tubularized incised plate urethroplasty for distal hypospadias at childhood |
| title_full_unstemmed | The long term evaluation of the sexual and voiding functions in adolescents with the tubularized incised plate urethroplasty for distal hypospadias at childhood |
| title_short | The long term evaluation of the sexual and voiding functions in adolescents with the tubularized incised plate urethroplasty for distal hypospadias at childhood |
| title_sort | long term evaluation of the sexual and voiding functions in adolescents with the tubularized incised plate urethroplasty for distal hypospadias at childhood |
| topic | distal hypospadias ،؛snodgrass repair ،؛tubularized incised plate urethroplasty ،؛long –term outcome ،؛urethrocutaneous fistula |
| url | https://www.iasj.net/iasj/pdf/37896afd39dd2f47 |
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