Long-term functional outcomes after penoscrotal hypospadias repair: A retrospective comparative study of proximal TIP, Onlay, and Duckett

Hueber, Pierre-Alain; Diaz, Monica Salgado; Chaussy, Yann; Franc-Guimond, Julie; Barrieras, Diego; Houle, Anne‐Marie

doi:10.1016/j.jpurol.2016.04.034

Cited by 29 publications

(23 citation statements)

References 12 publications

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“…TPIT patients had a lower Q max than the control group; however, it is questionable whether this difference is clinically relevant, as urinary symptoms scores were low and the median Q max was ≥15 mL/s. Our TPIT Group had a higher Q max compared to previously reported outcomes of TPIT patients (mean 17.3 mL/s, median 15.4 mL/s) [20,21]. The reported amelioration in flow might continue after puberty and might explain the higher median Q max in our older patients at follow-up [20,21].…”

Section: Micturitionsupporting

confidence: 39%

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Proximal hypospadias treated with a transverse preputial island tube: long‐term functional, sexual, and cosmetic outcomes

et al. 2018

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Section: Micturitionsupporting

confidence: 39%

“…Hueber et al. reported moderate prepubertal flow rates that improved towards puberty, indicating that long‐term evaluation is advised to reliably evaluate outcomes in this group.…”

Section: Discussionmentioning

confidence: 99%

Proximal hypospadias treated with a transverse preputial island tube: long‐term functional, sexual, and cosmetic outcomes

et al. 2018

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“…4–7 However, recent data indicate that the complication rates of proximal repair are higher than previously reported and contrast sharply with those of distal hypospadias repair. 11–13,15,16 Of particular concern is the over extension of certain techniques, which may increase complication development. In patients with multiple complications, repair efforts focus on function, ensuring the correction of chordee and advancement of the meatus to a distal position that may not be located in the distal glans.…”

Section: Discussionmentioning

confidence: 99%

Intermediate-Term Followup of Proximal Hypospadias Repair Reveals High Complication Rate

et al. 2017

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Purpose Results following distal hypospadias repair are favorable. Grouping proximal and distal hypospadias repair artificially increases the perceived success rate of proximal hypospadias. We identified our complication rate of proximal hypospadias repair and hypothesized a higher complication rate for 1-stage repair. Materials and Methods We retrospectively reviewed the records of consecutive boys who underwent proximal hypospadias from 2007 to 2014. Proximal hypospadias was defined as a urethral meatus location at or more proximal than the penoscrotal junction after penile degloving. We further stratified boys into those with planned 1-stage vs 2-stage repair. Univariate and Cox regression analyses were performed to assess associations with covariates and compare time to the first complication, respectively. Results A total of 167 boys met study inclusion criteria. Median followup was 31.7 months for 1-stage repair in 86 patients and staged repair in 81. The overall complication rate was 56%. Complications developed in 53 of 86 1-stage (62%) vs 40 of 81 staged (49%) repairs (p = 0.11). The number of unplanned procedures per patient was higher in the 1-stage than in the staged group (0.99 vs 0.69, p = 0.06), as was the number of patients who had at least 2 complications (29 of 86 or 33% vs 13 of 81 or 16%, p = 0.03). Cox regression showed no difference in time to the first complication for staged compared to 1-stage repair (HR 0.77, 95% CI 0.43–1.39). Conclusions Our 56% complication rate of proximal hypospadias warrants further long-term patient followup. More patients in the 1-stage group experienced at least 2 complications. However, when complications developed, they developed no differently in the 2 groups.

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“…[21] TIP patients were significantly more likely to have Qmax <5 th percentile during childhood, but after age 13 years Qmax increased for most patients to >5 th percentile with no differences found between techniques.…”

Section: Proximal Hypospadias With Ventral Curvature <30°: Tip Versusmentioning

confidence: 99%

Primary hypospadias repair techniques: A review of the evidence

Snodgrass

Bush

2016

Urol Ann

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This review summarizes data regarding commonly used surgical techniques to repair distal and proximal hypospadias. We review evidence concerning indications for various procedures used in primary hypospadias repair, and their complications, urinary function and esthetic results. Available evidence suggests TIP is preferable to Mathieu for distal hypospadias correction. Current data do not identify a clear preference between TIP and onlay flap for proximal repair when there is ventral curvature <30°, or between various flap and graft options when curvature is >31°. A review of objective data helps clarify decision-making for distal hypospadias repair. Additional objective evidence is needed to identify preferred options for proximal hypospadias repair. Measuring glansplasty dimensions (meatal size and distance from meatus to corona) may improve urinary function assessments, and provide additional objective data for decision-making between various surgical techniques.

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Long-term functional outcomes after penoscrotal hypospadias repair: A retrospective comparative study of proximal TIP, Onlay, and Duckett

Cited by 29 publications

References 12 publications

Proximal hypospadias treated with a transverse preputial island tube: long‐term functional, sexual, and cosmetic outcomes

Proximal hypospadias treated with a transverse preputial island tube: long‐term functional, sexual, and cosmetic outcomes

Intermediate-Term Followup of Proximal Hypospadias Repair Reveals High Complication Rate

Primary hypospadias repair techniques: A review of the evidence

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