An Operation for Hypospadias

Browne, Denis

doi:10.1177/003591574904200703

Cited by 83 publications

(19 citation statements)

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“…In 1880, Duplay [1] described a method for urethral construction in hypospadias that was based on one of the basic principles in urethral reconstruction, consisting of the formation of an epithelialized tube from a buried strip of skin. In 1949, Denis Browne [2] described a similar method for reconstruction of the urethra in hypospadias. Over time, the Duplay's and Denis Browne's principle, according to which the buried strip of intact epithelium becomes an epithelialized tube, has been widely used in reconstructive urology.…”

Section: Introductionmentioning

confidence: 99%

One‐sided anterior urethroplasty: a new dorsal onlay graft technique

et al. 2009

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OBJECTIVE To investigate the feasibility, tolerability, safety and efficacy of using a new surgical technique for the repair of anterior urethral strictures to preserve vascular supply to the urethra and its entire muscular and neurogenic support. PATIENTS AND METHODS In all, 24 patients (mean age 46 years) underwent a new one-sided anterior dorsal oral mucosal graft urethroplasty while preserving the lateral vascular supply to the urethra, the central tendon of the perineum, the bulbospongiosum muscle and its perineal innervation. The cause of stricture was instrumentation in three cases (12%), unknown in five (21%), infection in four (17%), and lichen sclerosus in 12 (50%). The stricture site was bulbar in 12 cases (50%) and panurethral in 12 (50%). The mean stricture length was 4.2 cm in patients with bulbar strictures and 10 cm in patients with panurethral strictures. Of 24 patients, 20 patients (83%) had received previous treatments. Clinical outcome was considered a failure when any postoperative instrumentation was needed, including dilatation. RESULTS The overall mean (range) follow-up was 22 (12-55) months. Of the 24 patients, 22 (92%) had a successful outcome and two (8%) were failures. One failure was treated using definitive perineal urethrostomy and another failure underwent successful internal urethrotomy. CONCLUSIONS The preservation of the one-sided vascular supply to the urethra and its entire muscular and neurogenic support should represent a slight but significant step toward perfecting the surgical technique of urethral reconstruction using a minimally invasive approach

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Section: Introductionmentioning

confidence: 99%

One‐sided anterior urethroplasty: a new dorsal onlay graft technique

et al. 2009

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“…All patients had undergone urethral reconstruction either with (28 patients) or without (5 patients) previous correction of chordee, 1 to 28 years before this investigation. The technique described by Denis Browne (1949) had been used in all cases.…”

Section: Methodsmentioning

confidence: 99%

Micturition Studies and Sexual Function in Operated Hypospadiacs

Svensson

Berg

1983

British Journal of Urology

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Micturition patterns in 33 males, aged 15 to 34 years, were investigated after hypospadias repair in childhood. Spraying of the urinary stream was the most common complaint (13 patients). Urinary flow was low in five patients as compared with controls, but in only one of these patients was an obstruction found that required treatment. Five patients had persistent curvature of the penis. One of them was unable to perform sexual intercourse.

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“…He had specific requirements for successful repairs, such as being applicable to all degrees of the deformity, creating a new urethra large enough for the passage of a cystoscope, and that the urethra should not be made of hairy skin [ Table 1]. He felt strongly that the urine should be diverted from the site of the repair during healing and that the operation should not be too complicated for the average competent surgeon to perform with a high degree of success [12,13]. Many of the principles Denis Browne stated are used in hypospadias repair today.…”

Section: Hypospadias Repairmentioning

confidence: 99%

“…The first stage was carried out when the child was 18 months old and the second at 4 years old [14]. The secondstage repair started with urinary diversion via perineal catheter placement.…”

Section: Hypospadias Repairmentioning

confidence: 99%