Preputial reconstruction and tubularized incised plate urethroplasty in proximal hypospadias with ventral penile curvature
Aims : Objective of this study was to assess the feasibility and results of preputial reconstruction and tubularized incised plate urethroplasty (TIP) in patients of proximal hypospadias with ventral penile curvature. Materials and Methods : Twenty-seven patients of proximal hypospadias who underwe...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2010-01-01
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| Series: | Indian Journal of Urology |
| Subjects: | |
| Online Access: | http://www.indianjurol.com/article.asp?issn=0970-1591;year=2010;volume=26;issue=4;spage=507;epage=510;aulast=Bhat |
| _version_ | 1818253545334374400 |
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| author | Amilal Bhat Ajay Gandhi Gajendra Saxena Gautam Ram Choudhary |
| author_facet | Amilal Bhat Ajay Gandhi Gajendra Saxena Gautam Ram Choudhary |
| author_sort | Amilal Bhat |
| collection | DOAJ |
| description | Aims : Objective of this study was to assess the feasibility and results of preputial reconstruction and tubularized incised plate urethroplasty (TIP) in patients of proximal hypospadias with ventral penile curvature.
Materials and Methods : Twenty-seven patients of proximal hypospadias who underwent preputioplasty with TIP were evaluated retrospectively. Ventral curvature was corrected by mobilization of the urethral plate with the corpus spongiosum and the proximal urethra; dorsal plication was added according to the severity of curvature. Feasibility of preputial reconstruction was assessed by applying 3 stay sutures-the first to fix the skin at the corona, the second at the junction of the inner and outer preputial skin for pulling up the skin over the glans, and the third stay on penile skin at the level of the corona for retracting the skin. Preputial reconstruction consisted of a standard 3 layered re-approximation of the margins of the dorsal hood.
Results : Age of the patients varied from 10 months to 21 years with an average of 6 years and 4 months. Ventral curvature (mild 10, moderate 13, and severe 4 cases) was corrected by the mobilization of the urethral plate and spongiosum in 14 patients, 11 cases had mobilization of the proximal urethra in addition and 2 patients required single stitch dorsal plication with the above-mentioned steps. Two patients developed urethral fistula and 1 had preputial dehiscence.
Conclusions : Preputioplasty with TIP is feasible in proximal hypospadias with curvature without increasing the complication rate. Postoperative phimosis can be prevented by on-table testing of the adequacy of preputial skin by 3 stay sutures. |
| first_indexed | 2024-12-12T16:41:46Z |
| format | Article |
| id | doaj.art-375e5e1ded824c658ddfe95286393d0f |
| institution | Directory Open Access Journal |
| issn | 0970-1591 1998-3824 |
| language | English |
| last_indexed | 2024-12-12T16:41:46Z |
| publishDate | 2010-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Urology |
| spelling | doaj.art-375e5e1ded824c658ddfe95286393d0f2022-12-22T00:18:33ZengWolters Kluwer Medknow PublicationsIndian Journal of Urology0970-15911998-38242010-01-0126450751010.4103/0970-1591.74442Preputial reconstruction and tubularized incised plate urethroplasty in proximal hypospadias with ventral penile curvatureAmilal BhatAjay GandhiGajendra SaxenaGautam Ram ChoudharyAims : Objective of this study was to assess the feasibility and results of preputial reconstruction and tubularized incised plate urethroplasty (TIP) in patients of proximal hypospadias with ventral penile curvature. Materials and Methods : Twenty-seven patients of proximal hypospadias who underwent preputioplasty with TIP were evaluated retrospectively. Ventral curvature was corrected by mobilization of the urethral plate with the corpus spongiosum and the proximal urethra; dorsal plication was added according to the severity of curvature. Feasibility of preputial reconstruction was assessed by applying 3 stay sutures-the first to fix the skin at the corona, the second at the junction of the inner and outer preputial skin for pulling up the skin over the glans, and the third stay on penile skin at the level of the corona for retracting the skin. Preputial reconstruction consisted of a standard 3 layered re-approximation of the margins of the dorsal hood. Results : Age of the patients varied from 10 months to 21 years with an average of 6 years and 4 months. Ventral curvature (mild 10, moderate 13, and severe 4 cases) was corrected by the mobilization of the urethral plate and spongiosum in 14 patients, 11 cases had mobilization of the proximal urethra in addition and 2 patients required single stitch dorsal plication with the above-mentioned steps. Two patients developed urethral fistula and 1 had preputial dehiscence. Conclusions : Preputioplasty with TIP is feasible in proximal hypospadias with curvature without increasing the complication rate. Postoperative phimosis can be prevented by on-table testing of the adequacy of preputial skin by 3 stay sutures.http://www.indianjurol.com/article.asp?issn=0970-1591;year=2010;volume=26;issue=4;spage=507;epage=510;aulast=BhatPreputioplastyhypospadiastubularized incised plate urethroplastyurethroplastyrepair |
| spellingShingle | Amilal Bhat Ajay Gandhi Gajendra Saxena Gautam Ram Choudhary Preputial reconstruction and tubularized incised plate urethroplasty in proximal hypospadias with ventral penile curvature Indian Journal of Urology Preputioplasty hypospadias tubularized incised plate urethroplasty urethroplasty repair |
| title | Preputial reconstruction and tubularized incised plate urethroplasty in proximal hypospadias with ventral penile curvature |
| title_full | Preputial reconstruction and tubularized incised plate urethroplasty in proximal hypospadias with ventral penile curvature |
| title_fullStr | Preputial reconstruction and tubularized incised plate urethroplasty in proximal hypospadias with ventral penile curvature |
| title_full_unstemmed | Preputial reconstruction and tubularized incised plate urethroplasty in proximal hypospadias with ventral penile curvature |
| title_short | Preputial reconstruction and tubularized incised plate urethroplasty in proximal hypospadias with ventral penile curvature |
| title_sort | preputial reconstruction and tubularized incised plate urethroplasty in proximal hypospadias with ventral penile curvature |
| topic | Preputioplasty hypospadias tubularized incised plate urethroplasty urethroplasty repair |
| url | http://www.indianjurol.com/article.asp?issn=0970-1591;year=2010;volume=26;issue=4;spage=507;epage=510;aulast=Bhat |
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