Hypospadias Repair Using A Modification of Beck's Operation: Followup

Haberlik, A.; Schmidt, B.; Uray, E; Mayr, J.

doi:10.1016/s0022-5347(01)64771-2

Cited by 21 publications

(12 citation statements)

References 14 publications

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“…It is known that there is a fine network between the urethral branch of the internal pudendal artery and terminal branches of the dorsal penile artery, which creates an important vasculature for the urethra (9). Thus, the fear of devascularization due to urethral mobilization seems to be unfounded (10). In the present series, 5 patients admitted with reduction in urinary flow calibration in the post-operative early period, and the problem was solved with only one gentle meatal dilatation in 4 patients.…”

Section: Discussionmentioning

confidence: 70%

“…With the use of the LUM technique, it was possible to carry these meatus' to the tip of the glans. We believe that utilization of this technique in secondary reconstructions seems to be effective in achieving good cosmetic and functional results (2,6,10,14).…”

Section: Discussionmentioning

confidence: 93%

“…Firstly, the use of the LUM technique in proximal hypospadias is questionable. The natural elasticity of the urethra is the main factor for using this technique and the continuing growth of the spongy urethra keeps pace with the general growth of the child (3,5,10,14). The LUM repair in distal hypospadias offers a relatively risk-free opportunity to advance the urethral meatus to the glans tip without constructing a neourethra, thus reducing the risk of fistula formation (6,10).…”

Section: Discussionmentioning

confidence: 99%

“…The natural elasticity of the urethra is the main factor for using this technique and the continuing growth of the spongy urethra keeps pace with the general growth of the child (3,5,10,14). The LUM repair in distal hypospadias offers a relatively risk-free opportunity to advance the urethral meatus to the glans tip without constructing a neourethra, thus reducing the risk of fistula formation (6,10). On the other hand, release of chordee in proximal shaft hypospadias results in an increase in the distance between the urethral meatus and the glans, and the use of this procedure in greater distances may apparently result in secondary chordee and even penile shortening (2,10).…”

Section: Discussionmentioning

confidence: 99%

“…The LUM repair in distal hypospadias offers a relatively risk-free opportunity to advance the urethral meatus to the glans tip without constructing a neourethra, thus reducing the risk of fistula formation (6,10). On the other hand, release of chordee in proximal shaft hypospadias results in an increase in the distance between the urethral meatus and the glans, and the use of this procedure in greater distances may apparently result in secondary chordee and even penile shortening (2,10). Thus, we can not comment on this situation as we did not use the technique for proximal hypospadias repair, but in such cases unsatisfactory results can be predicted (10).…”

Section: Discussionmentioning

confidence: 99%

See 4 more Smart Citations

Limited Urethral Mobilization Technique in Distal Hypospadias Repair with Satisfactory Results

Elemen¹,

Tugay²

2012

Balkan Med J

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Objective: To assess the outcomes of the Limited Urethral Mobilization (LUM) technique in distal hypospadias repair.Material and Methods: Forty-seven patients, who were operated on with the LUM technique iduring a 6 years period, were grouped according to their ages. Age distribution in Group 1 (n=37) and Group 2 (n=10) were 6-36 and 37-72 months. Meatal localization was glanular in 31, coronal in 7 and sub-coronal in 9 patients. Nine patients were secondary cases. The urethra proximal to the meatus was mobilized for a distance sufficient to allow it to reach the glans tip without tension. Then, the urethra was placed in the glanular bed and glanular reconstruction was performed. Operation duration, distance between the urethral meatus and the glans tip; and urethral mobilization length were measured and post-operative complications were noted.Results: Operation durations were similar in both groups. Three-fold urethral mobilization was sufficient for construction of tension-free urethra-glanular anastomosis. No fistula or retraction of the urethral meatus and chordee were observed. One patient required meatotomy.Conclusion: Distal hypospadias repair with the LUM technique is simple and effective. As no new urethral tube is constructed there is no risk of fistula. A slit-like urethral meatus with good functional results was obtained with the use of theLUM technique.

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Section: Discussionmentioning

confidence: 70%