Cosmetic and functional outcome for the use of stitch by stitch technique in hypospadias surgery; results of 235 patients

Elmoghazy, Hazem; Saber, Mohamed; Mamdoh, Ahmed; Rashed, Elnisr; Badawy, Abdelbasset A.; Riayd, Ahmed M.

doi:10.1016/j.jpurol.2020.04.019

Cited by 3 publications

(4 citation statements)

References 17 publications

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“…Importantly, the complication rate for SBS was 8.5% across all patients, and notably, there were no reported cases of meatal stenosis or retraction. ( 6) This study sought to compare the cosmetic outcomes of the TIP and SBS techniques using both subjective and objective measures. The findings revealed that both methods yielded comparable satisfaction rates among parents, registered nurses, and other pediatric surgeons.…”

Section: Discussionmentioning

confidence: 99%

“…In their study, Elmoghazy et al reported an overall satisfaction rate of 87% among patients older than six years and 84% among patients younger than six years . (6) However, it's important to note that this technique has not yet undergone external validation. Consequently, the objective of the present study is to assess the cosmetic outcomes of stitch-by-stitch glanuloplasty in comparison to the TIP technique.…”

Section: Introductionmentioning

confidence: 99%

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The cosmetic outcome of distal penile hypospadias repair using stitch-by-stitch glanuloplasty versus TIP: a non-randomized retrospective study

elmoghazy,

Moktar,

Borham

et al. 2024

Sohag Medical Journal

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Objectives: This study aims to assess the cosmetic outcomes of stitch-by-stitch (SBS) glanuloplasty in comparison to the tubularized incised plate (TIP) technique for the treatment of hypospadias. Methods: We conducted a retrospective analysis of patient records covering the period from March 2021 to March 2022. In total, 87 boys underwent hypospadias repair at our institution during this timeframe. The study focused on a subgroup of 40 children aged one to three years, among whom 20 received TIP repair, while the other 20 underwent SBS glanuloplasty onlay repair. The choice of surgical technique was determined by the surgeon's discretion, glans morphology, and the width of the urethral plate. All patients were subject to postoperative follow-ups at one and three weeks and then at three months to evaluate the cosmetic outcomes and postoperative complications. Results: The mean age of patients in the SBS group was 24.55±5.74 months, compared to 25.65±7.34 months in the TIP group. Parental satisfaction in the SBS group reached 85%, while it was 75% in the TIP group (p=0.659). Furthermore, both groups exhibited similar satisfaction rates among other pediatric surgeons (80%) and nurses (80%). Overall satisfaction rates were marginally higher in the SBS group (85%) compared to the TIP group (80%), with no statistically significant difference observed (p=0.666). The incidence of complications was 25% in the SBS group and 20% in the TIP group. Conclusion: this study underscores that both SBS and TIP techniques offer comparable levels of satisfaction among patients, nurses, and surgeons. Furthermore, the complication rates between the two techniques were similar.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The cosmetic outcome of distal penile hypospadias repair using stitch-by-stitch glanuloplasty versus TIP: a non-randomized retrospective study

elmoghazy,

Moktar,

Borham

et al. 2024

Sohag Medical Journal

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show abstract

“…Hypospadias, characterized by an opening of the urethra on the underside of the penis, is one of the most common congenital malformations in boys ( 26 ). Based on the published data of hypospadias, most of the studies have been focusing on the surgical techniques and the consequent functional, cosmetic, and sexual outcomes ( 18 , 27 , 28 ), but few studies have concerned the psychiatric symptoms in boys or adolescents with hypospadias. Actually, however, hypospadias alongside with the surgical procedures or surgical outcomes have all been postulated for leading to psychiatric disorders [e.g., depression, anxiety, and timidness; ( 25 , 29 )].…”

Section: Discussionmentioning

confidence: 99%

Hypospadias and Increased Risk for Psychiatric Symptoms in Both Childhood and Adolescence: A Literature Review

Jin

Wu²,

Shen

et al. 2022

Front. Psychiatry

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Hypospadias is one of the most common congenital malformations in boys. Due to abnormal appearance in the penis with abnormal urination and erection, patients with hypospadias were vulnerable to suffering from stress and psychiatric difficulties. The present study aims to summarize all the current evidence of the association between hypospadias and the risk of psychiatric disorders by a comprehensive review. Seventeen clinical studies were identified in the four electronic databases. A total of 953,872 participants were involved, while 15,729 of them were hypospadiac patients and the remaining 938,143 were normal controls. The standard age for surgery for hypospadias ranged from 20.4 months to 21.5 years. Eight out of seventeen (8/17, 47%) included studies explicitly showed that patients with hypospadias had a significantly higher risk of psychosocial disorders (all P < 0.05). Specific types of psychiatric disorders included depression, anxiety, shyness, timidness, isolation, fear of ridicule, attention-deficit hyperactivity, autism spectrum, behavioral/emotional disorders, temper tantrums, emotionality, affective, psychosexual problems, and suicidal tendencies. Based on this review, psychiatric illnesses are frequently detected in hypospadiac patients' childhood, thus proper psychiatric guidance and early interventions from physicians, nurses, and parents may help these children to grow into less affected men.

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“…Operation is the main treatment for children with hypospadias, and there are many clinical treatment methods. However, due to the unique physiological structure and limitations of children, postoperative infection complications are prone to occur, which seriously affects the treatment effect and overall treatment rate [ 14 – 16 ]. Therefore, the prevention and treatment of complications in children with hypospadias can significantly reduce the clinical symptoms and adverse reactions and improve the prognosis.…”

Section: Discussionmentioning

confidence: 99%

Significance of Continuous Nursing of Omaha System in Children after Hypospadias Surgery and Its Influence on Infection Complications

Fan

Deng

et al. 2022

Contrast Media & Molecular Imaging

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Objective. The aim of the research article is to explore the significance of continuous nursing of the Omaha system in children after hypospadias surgery and its influence on infection complications. Methods. From April 2019 to April 2021, Anhui Provincial Children’s Hospital treated 76 children with hypospadias and they were selected as the research objects. In the light of the random number table method, children were classified into the control group and the study group, with 38 cases in each group. The control group applied routine postoperative nursing intervention, while the study group received Omaha system continuous nursing intervention based on the control group. The Omaha system outcome evaluation, complication rate, quality of life, and nursing satisfaction were recorded and discussed in all children. Results. The levels of physiological and psychological environment and health behavior in both groups after intervention were significantly higher than those before the intervention, and the levels of all dimensions in the study group were significantly higher than those in the control group ( P < 0.05 ); the complication rate in the study group was 10.53% significantly lower than that in the control group (28.95%). After intervention, the physiological function, psychological and social function, emotional function, social interaction, and school status of the two groups were significantly higher than before intervention, and the score of each dimension in the study group was significantly higher than that in the control group ( P < 0.05 ); the overall satisfaction of nursing in the study group was 94.74% significantly better than in the control group (81.59%) ( P < 0.05 ). Conclusion. The continuous nursing intervention of the Omaha system for children with hypospadias can significantly improve the clinical condition of children, reduce the risk of infection complications, improve children’s physical and mental health status, and improve nursing satisfaction, which is worthy of clinical practice.

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Cosmetic and functional outcome for the use of stitch by stitch technique in hypospadias surgery; results of 235 patients

Cited by 3 publications

References 17 publications

The cosmetic outcome of distal penile hypospadias repair using stitch-by-stitch glanuloplasty versus TIP: a non-randomized retrospective study

The cosmetic outcome of distal penile hypospadias repair using stitch-by-stitch glanuloplasty versus TIP: a non-randomized retrospective study

Hypospadias and Increased Risk for Psychiatric Symptoms in Both Childhood and Adolescence: A Literature Review

Significance of Continuous Nursing of Omaha System in Children after Hypospadias Surgery and Its Influence on Infection Complications

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