Double dartos flap layer in tubularized incised plate urethroplasty to prevent urethrocutaneous fistula in uncircumcised patients with distal hypospadias
Urethrocutaneous fistula may complicate hypospadias repair. We noticed that double-layered preputial dartos flaps added to tubularized incised plate urethroplasty can reduce the risk of urethrocutaneous fistula. The aim of this study was to compare the outcomes of tubularized incised plate urethropl...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2023-01-01
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| Series: | Asian Journal of Andrology |
| Subjects: | |
| Online Access: | http://www.ajandrology.com/article.asp?issn=1008-682X;year=2023;volume=25;issue=1;spage=93;epage=97;aulast=Al-Taher |
| _version_ | 1797904945455824896 |
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| author | Raed Al-Taher Mohammad Nofal Ali J Yousef Mohammad Rashdan Amjad Tarawneh Jad Alsmadi Eman Hasan Dalal Alshareefi Danah Alenezi Bashayer Abdulrasoul |
| author_facet | Raed Al-Taher Mohammad Nofal Ali J Yousef Mohammad Rashdan Amjad Tarawneh Jad Alsmadi Eman Hasan Dalal Alshareefi Danah Alenezi Bashayer Abdulrasoul |
| author_sort | Raed Al-Taher |
| collection | DOAJ |
| description | Urethrocutaneous fistula may complicate hypospadias repair. We noticed that double-layered preputial dartos flaps added to tubularized incised plate urethroplasty can reduce the risk of urethrocutaneous fistula. The aim of this study was to compare the outcomes of tubularized incised plate urethroplasty with double-layered preputial dartos flaps to with single-layered local fascial flaps in preventing urethrocutaneous fistula. A retrospective cohort study was conducted between January 2017 and December 2020 at Jordan University Hospital (Amman, Jordan). Boys who were aged between 6 months and 5 years, diagnosed with distal hypospadias, and not circumcised were included. The primary outcome was the occurrence of urethrocutaneous fistula in patients who underwent tubularized incised plate urethroplasty with a double-layered fascial flap. The results showed a total of 163 boys with distal hypospadias; among them, 116 patients underwent tubularized incised plate urethroplasty with a single-layered fascial flap, and 47 underwent tubularized incised plate urethroplasty with a double-layered fascial flap. The development of urethrocutaneous fistula was higher in the group receiving tubularized incised plate urethroplasty with a single-layered fascial flap than in the group receiving tubularized incised plate urethroplasty with a double-layered fascial flap after 1 month, 6 months, and 12 months (6.9% vs 0, 10.3% vs 0, and 5.2% vs 0, respectively), and the difference after 6 months was statistically significant (P = 0.02). |
| first_indexed | 2024-04-10T09:58:14Z |
| format | Article |
| id | doaj.art-e292b04cf2964659bcb3db68656eac16 |
| institution | Directory Open Access Journal |
| issn | 1008-682X 1745-7262 |
| language | English |
| last_indexed | 2024-04-10T09:58:14Z |
| publishDate | 2023-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Asian Journal of Andrology |
| spelling | doaj.art-e292b04cf2964659bcb3db68656eac162023-02-16T12:09:20ZengWolters Kluwer Medknow PublicationsAsian Journal of Andrology1008-682X1745-72622023-01-01251939710.4103/aja202251Double dartos flap layer in tubularized incised plate urethroplasty to prevent urethrocutaneous fistula in uncircumcised patients with distal hypospadiasRaed Al-TaherMohammad NofalAli J YousefMohammad RashdanAmjad TarawnehJad AlsmadiEman HasanDalal AlshareefiDanah AleneziBashayer AbdulrasoulUrethrocutaneous fistula may complicate hypospadias repair. We noticed that double-layered preputial dartos flaps added to tubularized incised plate urethroplasty can reduce the risk of urethrocutaneous fistula. The aim of this study was to compare the outcomes of tubularized incised plate urethroplasty with double-layered preputial dartos flaps to with single-layered local fascial flaps in preventing urethrocutaneous fistula. A retrospective cohort study was conducted between January 2017 and December 2020 at Jordan University Hospital (Amman, Jordan). Boys who were aged between 6 months and 5 years, diagnosed with distal hypospadias, and not circumcised were included. The primary outcome was the occurrence of urethrocutaneous fistula in patients who underwent tubularized incised plate urethroplasty with a double-layered fascial flap. The results showed a total of 163 boys with distal hypospadias; among them, 116 patients underwent tubularized incised plate urethroplasty with a single-layered fascial flap, and 47 underwent tubularized incised plate urethroplasty with a double-layered fascial flap. The development of urethrocutaneous fistula was higher in the group receiving tubularized incised plate urethroplasty with a single-layered fascial flap than in the group receiving tubularized incised plate urethroplasty with a double-layered fascial flap after 1 month, 6 months, and 12 months (6.9% vs 0, 10.3% vs 0, and 5.2% vs 0, respectively), and the difference after 6 months was statistically significant (P = 0.02).http://www.ajandrology.com/article.asp?issn=1008-682X;year=2023;volume=25;issue=1;spage=93;epage=97;aulast=Al-Taherdistal hypospadias; double-layered preputial dartos flap; tubularized incised plate urethroplasty; urethrocutaneous fistula |
| spellingShingle | Raed Al-Taher Mohammad Nofal Ali J Yousef Mohammad Rashdan Amjad Tarawneh Jad Alsmadi Eman Hasan Dalal Alshareefi Danah Alenezi Bashayer Abdulrasoul Double dartos flap layer in tubularized incised plate urethroplasty to prevent urethrocutaneous fistula in uncircumcised patients with distal hypospadias Asian Journal of Andrology distal hypospadias; double-layered preputial dartos flap; tubularized incised plate urethroplasty; urethrocutaneous fistula |
| title | Double dartos flap layer in tubularized incised plate urethroplasty to prevent urethrocutaneous fistula in uncircumcised patients with distal hypospadias |
| title_full | Double dartos flap layer in tubularized incised plate urethroplasty to prevent urethrocutaneous fistula in uncircumcised patients with distal hypospadias |
| title_fullStr | Double dartos flap layer in tubularized incised plate urethroplasty to prevent urethrocutaneous fistula in uncircumcised patients with distal hypospadias |
| title_full_unstemmed | Double dartos flap layer in tubularized incised plate urethroplasty to prevent urethrocutaneous fistula in uncircumcised patients with distal hypospadias |
| title_short | Double dartos flap layer in tubularized incised plate urethroplasty to prevent urethrocutaneous fistula in uncircumcised patients with distal hypospadias |
| title_sort | double dartos flap layer in tubularized incised plate urethroplasty to prevent urethrocutaneous fistula in uncircumcised patients with distal hypospadias |
| topic | distal hypospadias; double-layered preputial dartos flap; tubularized incised plate urethroplasty; urethrocutaneous fistula |
| url | http://www.ajandrology.com/article.asp?issn=1008-682X;year=2023;volume=25;issue=1;spage=93;epage=97;aulast=Al-Taher |
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