Vacuum physiotherapy after first stage buccal mucosa graft (BMG) urethroplasty in children with proximal hypospadias
ABSTRACT Introduction To assess the feasibility of vacuum physiotherapy meant to decrease graft contraction and recurrent penile curvature (PC), hence successful tubularization and a straight penis in patients underwent two-stage buccal mucosa graft (BMG) urethroplasty, in proximal hypospadias rep...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Urologia
2020-09-01
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| Series: | International Brazilian Journal of Urology |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382020000601029&tlng=en |
| _version_ | 1798015410066423808 |
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| author | Marco Bandini Sasha Sekulovic Bogdan Spiridonescu Anuj Deep Dangi Pramod Krishnappa Alberto Briganti Andrea Salonia Francesco Montorsi Rados Djinovic |
| author_facet | Marco Bandini Sasha Sekulovic Bogdan Spiridonescu Anuj Deep Dangi Pramod Krishnappa Alberto Briganti Andrea Salonia Francesco Montorsi Rados Djinovic |
| author_sort | Marco Bandini |
| collection | DOAJ |
| description | ABSTRACT Introduction To assess the feasibility of vacuum physiotherapy meant to decrease graft contraction and recurrent penile curvature (PC), hence successful tubularization and a straight penis in patients underwent two-stage buccal mucosa graft (BMG) urethroplasty, in proximal hypospadias repair. Material and methods Between January 2014 and July 2018, 59 two-stage BMG urethroplasties performed at our referral center, were included in the study. The parents were counseled to use the vacuum device between the two stages. An internal, self-administered, semiquantitative, non-validated questionnaire was designed to record parent and patient adherence to the vacuum physiotherapy and parent satisfaction. Success rate of graft tubularization, curvature correction rates, and status of early (4 months) postoperative urinary stream were evaluated. Results Of 45/59 (76.3%) who returned the questionnaire, 77.8% followed the recommended physiotherapy protocol using the vacuum device. 93.3% of parents replied that the use of the vacuum was easy or moderately easy. None of the parents interrupted the physiotherapy because of perceived difficulty or intolerability. 100% of parents would have repeated the physiotherapy, if they had to. Overall, success rate of tubularization was 98.3% (58/59), complete curvature correction was achieved in 88.2% (52/59) of patients, and 79.7% (47/59) of patients showed a straight and powerful early post-operative urinary stream. Conclusions Physiotherapy with the vacuum device is safe, easy and practically feasible. Our vacuum physiotherapy protocol had high compliance rate. Vacuum physiotherapy should be considered for further assessment in patients undergoing two stage hypospadias repair using buccal mucosa. |
| first_indexed | 2024-04-11T15:32:57Z |
| format | Article |
| id | doaj.art-eeefac3decb942fd949f2c19f8593bc5 |
| institution | Directory Open Access Journal |
| issn | 1677-6119 |
| language | English |
| last_indexed | 2024-04-11T15:32:57Z |
| publishDate | 2020-09-01 |
| publisher | Sociedade Brasileira de Urologia |
| record_format | Article |
| series | International Brazilian Journal of Urology |
| spelling | doaj.art-eeefac3decb942fd949f2c19f8593bc52022-12-22T04:16:05ZengSociedade Brasileira de UrologiaInternational Brazilian Journal of Urology1677-61192020-09-014661029104110.1590/s1677-5538.ibju.2019.0845Vacuum physiotherapy after first stage buccal mucosa graft (BMG) urethroplasty in children with proximal hypospadiasMarco Bandinihttps://orcid.org/0000-0002-1462-1698Sasha SekulovicBogdan SpiridonescuAnuj Deep DangiPramod KrishnappaAlberto BrigantiAndrea SaloniaFrancesco MontorsiRados DjinovicABSTRACT Introduction To assess the feasibility of vacuum physiotherapy meant to decrease graft contraction and recurrent penile curvature (PC), hence successful tubularization and a straight penis in patients underwent two-stage buccal mucosa graft (BMG) urethroplasty, in proximal hypospadias repair. Material and methods Between January 2014 and July 2018, 59 two-stage BMG urethroplasties performed at our referral center, were included in the study. The parents were counseled to use the vacuum device between the two stages. An internal, self-administered, semiquantitative, non-validated questionnaire was designed to record parent and patient adherence to the vacuum physiotherapy and parent satisfaction. Success rate of graft tubularization, curvature correction rates, and status of early (4 months) postoperative urinary stream were evaluated. Results Of 45/59 (76.3%) who returned the questionnaire, 77.8% followed the recommended physiotherapy protocol using the vacuum device. 93.3% of parents replied that the use of the vacuum was easy or moderately easy. None of the parents interrupted the physiotherapy because of perceived difficulty or intolerability. 100% of parents would have repeated the physiotherapy, if they had to. Overall, success rate of tubularization was 98.3% (58/59), complete curvature correction was achieved in 88.2% (52/59) of patients, and 79.7% (47/59) of patients showed a straight and powerful early post-operative urinary stream. Conclusions Physiotherapy with the vacuum device is safe, easy and practically feasible. Our vacuum physiotherapy protocol had high compliance rate. Vacuum physiotherapy should be considered for further assessment in patients undergoing two stage hypospadias repair using buccal mucosa.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382020000601029&tlng=enHypospadiasMouth MucosaVacuum |
| spellingShingle | Marco Bandini Sasha Sekulovic Bogdan Spiridonescu Anuj Deep Dangi Pramod Krishnappa Alberto Briganti Andrea Salonia Francesco Montorsi Rados Djinovic Vacuum physiotherapy after first stage buccal mucosa graft (BMG) urethroplasty in children with proximal hypospadias International Brazilian Journal of Urology Hypospadias Mouth Mucosa Vacuum |
| title | Vacuum physiotherapy after first stage buccal mucosa graft (BMG) urethroplasty in children with proximal hypospadias |
| title_full | Vacuum physiotherapy after first stage buccal mucosa graft (BMG) urethroplasty in children with proximal hypospadias |
| title_fullStr | Vacuum physiotherapy after first stage buccal mucosa graft (BMG) urethroplasty in children with proximal hypospadias |
| title_full_unstemmed | Vacuum physiotherapy after first stage buccal mucosa graft (BMG) urethroplasty in children with proximal hypospadias |
| title_short | Vacuum physiotherapy after first stage buccal mucosa graft (BMG) urethroplasty in children with proximal hypospadias |
| title_sort | vacuum physiotherapy after first stage buccal mucosa graft bmg urethroplasty in children with proximal hypospadias |
| topic | Hypospadias Mouth Mucosa Vacuum |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382020000601029&tlng=en |
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