Outcome of Ventrally Trans Positioned Total Preputial Flap for Staged Repair of Proximal Hypospadias
Objectives: Our work seeks to evaluate the use of the ventrally trans-positioned total preputial flap [TPF] for staged proximal hypospadias correction.Patients and Methods: An interventional prospective nonrandomized study included 20 participants who have proximal hypospadias and had a two-stage co...
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| Format: | Article |
| Language: | English |
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Al-Azhar University, Faculty of Medicine (Damietta)
2023-01-01
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| Series: | International Journal of Medical Arts |
| Subjects: | |
| Online Access: | https://ijma.journals.ekb.eg/article_293324_05a7c02f60b0a382c468c8cc5a0210b0.pdf |
| _version_ | 1797364449629175808 |
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| author | Mohammed Elghandour Mohamed Hindawy Sayed Eleweedy |
| author_facet | Mohammed Elghandour Mohamed Hindawy Sayed Eleweedy |
| author_sort | Mohammed Elghandour |
| collection | DOAJ |
| description | Objectives: Our work seeks to evaluate the use of the ventrally trans-positioned total preputial flap [TPF] for staged proximal hypospadias correction.Patients and Methods: An interventional prospective nonrandomized study included 20 participants who have proximal hypospadias and had a two-stage correction with TPF. The inclusion criteria were any uncircumcised children with proximal hypospadias [age was ranged from 6 months till 18 years]. Circumcised patients, recurrent cases and mid or distal shaft hypospadias were excluded from the study. Hypospadias objective scoring system utilized for post-operative analysis.Results: The first stage operation's average patient age was 2.5 years [9 months–16 years]; and the typical follow-up period lasted 8 months. There was a proximal penile urethral meatus in 17 [85%] patients also penoscrotal in 2 [10%] and mid shaft in one case [5%] that converted to proximal shaft after release of chordee. After the second stage operation, seventeen patient [85%] had successful outcome and complications following surgery occurred in 3 [15%] patients with urethra-cutaneous fistula in one patient [5%], meatal stenosis one case [5%] and one case had persistent chordee [5%]. The results of the objective scoring evaluation for hypospadias were satisfactory in 95% of patients, with satisfactory both functional and cosmetic outcome.Conclusion: With the 15% tolerable complexity rate, the ventrally trans-positioned total preputial flap [TPF] is a reliable procedure with acceptable success rate and low complications. |
| first_indexed | 2024-03-08T16:35:31Z |
| format | Article |
| id | doaj.art-a6dcf09bb1814231a61d1869f1757b3a |
| institution | Directory Open Access Journal |
| issn | 2636-4174 2682-3780 |
| language | English |
| last_indexed | 2024-03-08T16:35:31Z |
| publishDate | 2023-01-01 |
| publisher | Al-Azhar University, Faculty of Medicine (Damietta) |
| record_format | Article |
| series | International Journal of Medical Arts |
| spelling | doaj.art-a6dcf09bb1814231a61d1869f1757b3a2024-01-05T19:36:35ZengAl-Azhar University, Faculty of Medicine (Damietta)International Journal of Medical Arts2636-41742682-37802023-01-01512997300510.21608/ijma.2023.195587.1631293324Outcome of Ventrally Trans Positioned Total Preputial Flap for Staged Repair of Proximal HypospadiasMohammed Elghandour0Mohamed Hindawy1Sayed Eleweedy2Department of Urology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.Department of Urology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.Department of Urology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.Objectives: Our work seeks to evaluate the use of the ventrally trans-positioned total preputial flap [TPF] for staged proximal hypospadias correction.Patients and Methods: An interventional prospective nonrandomized study included 20 participants who have proximal hypospadias and had a two-stage correction with TPF. The inclusion criteria were any uncircumcised children with proximal hypospadias [age was ranged from 6 months till 18 years]. Circumcised patients, recurrent cases and mid or distal shaft hypospadias were excluded from the study. Hypospadias objective scoring system utilized for post-operative analysis.Results: The first stage operation's average patient age was 2.5 years [9 months–16 years]; and the typical follow-up period lasted 8 months. There was a proximal penile urethral meatus in 17 [85%] patients also penoscrotal in 2 [10%] and mid shaft in one case [5%] that converted to proximal shaft after release of chordee. After the second stage operation, seventeen patient [85%] had successful outcome and complications following surgery occurred in 3 [15%] patients with urethra-cutaneous fistula in one patient [5%], meatal stenosis one case [5%] and one case had persistent chordee [5%]. The results of the objective scoring evaluation for hypospadias were satisfactory in 95% of patients, with satisfactory both functional and cosmetic outcome.Conclusion: With the 15% tolerable complexity rate, the ventrally trans-positioned total preputial flap [TPF] is a reliable procedure with acceptable success rate and low complications.https://ijma.journals.ekb.eg/article_293324_05a7c02f60b0a382c468c8cc5a0210b0.pdftwo-stage repairproximal hypospadiaspreputial flap |
| spellingShingle | Mohammed Elghandour Mohamed Hindawy Sayed Eleweedy Outcome of Ventrally Trans Positioned Total Preputial Flap for Staged Repair of Proximal Hypospadias International Journal of Medical Arts two-stage repair proximal hypospadias preputial flap |
| title | Outcome of Ventrally Trans Positioned Total Preputial Flap for Staged Repair of Proximal Hypospadias |
| title_full | Outcome of Ventrally Trans Positioned Total Preputial Flap for Staged Repair of Proximal Hypospadias |
| title_fullStr | Outcome of Ventrally Trans Positioned Total Preputial Flap for Staged Repair of Proximal Hypospadias |
| title_full_unstemmed | Outcome of Ventrally Trans Positioned Total Preputial Flap for Staged Repair of Proximal Hypospadias |
| title_short | Outcome of Ventrally Trans Positioned Total Preputial Flap for Staged Repair of Proximal Hypospadias |
| title_sort | outcome of ventrally trans positioned total preputial flap for staged repair of proximal hypospadias |
| topic | two-stage repair proximal hypospadias preputial flap |
| url | https://ijma.journals.ekb.eg/article_293324_05a7c02f60b0a382c468c8cc5a0210b0.pdf |
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