Duckett versus Modified Bracka Technique for Proximal Hypospadias Repair A 10-Year Experience

Sadeghi, Amir; Mirshemirani, Alireza; Tabari, Ahmad Khaleghnejad; Sadeghian, Naser; Rozroukh, Mohsen; Ghoroubi, Javad; Mohajerzadeh, Leila; Sarafi, Mehdi

doi:10.5812/ijp.7752

Cited by 6 publications

(5 citation statements)

References 18 publications

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“…Other causes of hypospadias in children include genetic polymorphisms, identified in FGF8 and FGFR2 genes, that were observed in a minor share of cases. Since the development of male reproductive organs is an AR-dependent process, it can be suggested that polymorphisms, identified in FGF8 and FGFR2 genes in boys with hypospadias, can prevent AR-responses during the development of the urethra (Beleza-Meireles et al, 2007; Sadeghi et al, 2017).…”

Section: Methodsmentioning

confidence: 99%

The Ways of Improvement of the Methods of Hypospadias Treatment in Children: Literature Review

Zharkimbayeva¹,

Dyusembayev²,

Аубакиров³

et al. 2019

PTQ

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The relevance of the study is due to the fact that hypospadias is a congenital defect of the urogenital system in boys. The incidence rate of hypospadias differs in different countries. The main etiological factor of this defect development is a hormonal imbalance of different origin in mothers. Hypospadias can be corrected only surgically. Currently, there are a number of surgical approaches used, but still, the number of complications in the postoperative period remains high. The purpose of the article was to evaluate the outcomes of surgical correction of hypospadias in children observed after different approaches to urethroplasty involving transplanting. The authors performed a search for articles in electronic databases Pub Med, Elsevier, Scopus, Web of Science for the period from 2007 to 2018. The authors reviewed 265 articles dedicated to the correction of hypospadias by the following methods: TIP (tabularized incised plate), Mathieu, GTIP (graft tabularized incised plate) and two-stage Bracka urethroplasty. The most widespread complications mentioned in different studies were fistulas, stenosis of the urethral neo-meatus, and secondary deformation of the penis. Current approaches to surgical correction of hypospadias in children do not provide complete recovery from post-operative complications. Due to this fact, the issues of treatment of hypospadias remain relevant, requiring the development of new approaches to urethroplasty.

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Section: Methodsmentioning

confidence: 99%

The Ways of Improvement of the Methods of Hypospadias Treatment in Children: Literature Review

Zharkimbayeva¹,

Dyusembayev²,

Аубакиров³

et al. 2019

PTQ

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“…The two-stage approach separated VC correction and reconstruction of the urethral plate from urethroplasty, simplifying proximal hypospadias repairs with a lower complications rate, and has become the preferred method for many surgeons ( 7 , 8 ). The comparative studies of these two techniques indicate a higher complication rate of TPIFU ( 9 , 10 ). During the past decades, researchers have modified the surgical technique of TPIFU in order to improve the success rate.…”

Section: Introductionmentioning

confidence: 99%

Reoperation frequency after transverse preputial Island flap urethroplasty “Duckett’s technique” in treatment of severe hypospadias: A single center study

Liu²,

Yang³

et al. 2023

Front. Pediatr.

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PurposeTransverse Preputial Island Flap Urethroplasty (TPIFU) is one of the most common techniques for treating severe hypospadias. Studies on the reoperation frequency after TPIFU is lacking. In the present study, we reported our clinical outcomes of severe hypospadias treated with one-staged TPIFU and analyzed the operation frequency.MethodsWe retrospectively analyzed the clinical data of severe hypospadias patients who underwent one-stage TPIFU from December 2018 to December 2019 in the department of Urology at Beijing Children's Hospital. A stepwise approach was used to manage the curvature. Severe hypospadias was defined as those residual curvature was higher than 30° after degloving. Urethroplasty complications included fistula, urethral stricture, and diverticulum. The short-term cure was identified as no complications occurring for 12 months after the date of last-time surgery. The reoperation rate and operation frequency of TPIFU were analyzed.ResultsA total of 136 patients who underwent one-stage TPIFU were included in the study. The follow-up after primary urethroplasty ranged from 22 to 50 months. The median age at primary surgery was 22.5 months (range from 13 to 132 months). After primary TPIFU surgery, 53 (39%) patients underwent additional surgical interventions to treat postoperative complications. Among them, 24 patients (17.6%) developed fistula, 17 patients (12.5%) developed urethral stricture and 11 patients (8.1%) developed diverticulum. After the second surgery, five patients remained fistula, five patients remained urethral stricture, and seven patients remained diverticulum. Overall, 61% (85 patients) met the cured standard after the primary operation, and the two operations cure rate was 87.5% (119 patients). 91.2% (124 patients) were cured in three operations.ConclusionsAlthough the complication rates after primary TPIFU were relatively high, more than half of patients achieved short-term cured through a single operation, and the cure rate after two or three operations was acceptable.

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“…The two-stage approach separated VC correction and reconstruction of the urethral plate from urethroplasty, simplifying proximal hypospadias repairs with a lower complications rate, and has become the preferred method for many surgeons [7,8]. The comparative studies of these two techniques indicate a higher complication rate of TPIFU [9,10]. However, two-stage repair commits patients to at least two procedures, while a second procedure might be avoided in some patients who undergo a singlestage approach.…”

Section: Introductionmentioning

confidence: 99%

Reoperation Frequency after Transverse Preputial Island Flap Urethroplasty in Treating of Severe Hypospadias: A Single Center Study

Liu

Yang

et al. 2022

Preprint

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Background: Considering the continuing debate on the best technique to treat serve hypospadias, the reoperation frequency after Transverse Preputial Island Flap Urethroplasty (TPIFU) is lacking. In the present study, we reported our clinical outcomes of severe hypospadias treated with one-staged TPIFU and analyzed the operation frequency. Methods: We retrospectively analyzed the clinical data of severe hypospadias patients who underwent one-stage TPIFU from December 2018 to December 2019. A stepwise approach was used to manage the curvature. Severe hypospadias was defined as the residual curvature was > 30° after degloving. Urethroplasty complications included fistula, urethral stricture, and diverticulum. The short-term cure was identified as no complications occurring for 12 months after the date of last-time surgery. The reoperation rate and operation frequency of TPIFU were analyzed. Results: A total of 136 patients who underwent one-stage TPIFU were included in the study. The follow-up after primary urethroplasty ranged from 22 to 50 months. The median age at primary surgery was 22.5 months (range from 13 to 132 months). After primary TPIFU surgery, 53(39%) patients accepted reoperation handling with complications. Among them, 24 patients (17.6%) developed fistula, 17 patients (12.5%) developed urethral stricture and 11 patients (8.1%) developed diverticulum. After the second surgery, 5/17 patients remained fistula, 5/17 patients remained urethral stricture, and 7/17 patients remained diverticulum. Overall, 61% (85 patients) met the cured standard after the primary operation, and the two operations cure rate was 87.5% (119 patients). 91.2% (124 patients) were cured in three operations.Conclusions: The present study provides a novel perspective to evaluate the surgery technique through the surgery number to cure the patients, rather than simply comparing the complication rate. Our result demonstrated that the complication rates of primary TPIFU were relatively high, but the cure rate after two or three operations was acceptable.

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Duckett versus Modified Bracka Technique for Proximal Hypospadias Repair A 10-Year Experience

Cited by 6 publications

References 18 publications

The Ways of Improvement of the Methods of Hypospadias Treatment in Children: Literature Review

The Ways of Improvement of the Methods of Hypospadias Treatment in Children: Literature Review

Reoperation frequency after transverse preputial Island flap urethroplasty “Duckett’s technique” in treatment of severe hypospadias: A single center study

Reoperation Frequency after Transverse Preputial Island Flap Urethroplasty in Treating of Severe Hypospadias: A Single Center Study

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