Para-meatus Skin Incision With Long Channel Technique for Midshaft Hypospadias Repair Without Penile Curvature

Su, Cheng; Yang, Tianyou; Zhang, Zhi-chong; Xu, Ying‐Jia; Liang, Qifeng

doi:10.1016/j.urology.2011.11.034

Cited by 3 publications

(1 citation statement)

References 23 publications

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“…The technique of creating a long subcutaneous channel was described earlier by us and was shown to be applicable. 9 When the subcutaneous channel is ready, the hypospadiac part of the urethra is measured. The scrotum skin is bilaterally stretched outward to minimize the flap size and restrict it to the most median hairless area; a rectangular shape of the skin flap is marked with the median raphe being its midline (Fig.…”

Section: Surgical Techniquementioning

confidence: 99%

Two-stage Repair With Long Channel Technique for Primary Severe Hypospadias

Yang

Xie

Liang

et al. 2014

Urology

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Section: Surgical Techniquementioning

confidence: 99%

Two-stage Repair With Long Channel Technique for Primary Severe Hypospadias

Yang

Xie

Liang

et al. 2014

Urology

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Hypospadias

Macedo¹,

Rondon²,

Ortiz³

2012

Current Opinion in Urology

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Application of the Mathieu combined tunnel technique for repairing glans dehiscence after failed hypospadias repair

Xie

Xia

et al. 2022

Asian Journal of Andrology

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Repairing glans dehiscence after failed hypospadias repair is challenging for pediatric surgeons. Here, we introduced and evaluated a newly modified Mathieu technique, Mathieu combined tunnel (MCT), which involves multiple custom-designed flaps for the shortage of flap source material after repeated operations; we also constructed a tunnel to avoid the glans incision that may carry new risks of dehiscence. This retrospective study included 26 patients who were consecutively admitted to the First Affiliated Hospital of Sun Yat-Sen University (Guangzhou, China) for glans dehiscence repair after failed hypospadias repair from October 2014 to October 2020; sixteen patients underwent surgery using the MCT (MCT group) and ten patients underwent surgery using the tubularized incised plate (TIP) technique (TIP group). The operative time, blood loss, postoperative complications, normal urethral meatus rate, success rate, and Hypospadias Objective Penile Evaluation (HOPE) score were compared between the two groups. The MCT group achieved an overall satisfactory penile appearance and voiding function, with a higher rate of normal urethral meatus (15/16, 93.8%) and a lower rate of glans dehiscence (1/16, 6.2%), compared with the TIP group (70.0% and 30.0%, respectively). However, these differences were not statistically significant, possibly because of the limited number of patients (all P > 0.05). Mean postoperative HOPE scores were similar in the MCT group (mean ± standard deviation: 8.83 ± 0. 89) and TIP group (8.94 ± 0.57) (P > 0.05). No significant differences were found between the two groups in terms of blood loss and success rate, nor in the rates of various complications (e.g., fistula, urethral stricture, and glans dehiscence). In conclusion, the MCT technique appears to be feasible and reliable for repairing glans dehiscence after failed hypospadias repair.

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Para-meatus Skin Incision With Long Channel Technique for Midshaft Hypospadias Repair Without Penile Curvature

Cited by 3 publications

References 23 publications

Two-stage Repair With Long Channel Technique for Primary Severe Hypospadias

Two-stage Repair With Long Channel Technique for Primary Severe Hypospadias

Hypospadias

Application of the Mathieu combined tunnel technique for repairing glans dehiscence after failed hypospadias repair

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