Tubularised incised plate hypospadias repair: a multicellular experience

Shahid, Shah Md Ahsan; Rahman, Md. Mostafizur

doi:10.3329/kyamcj.v1i2.13317

Cited by 3 publications

(3 citation statements)

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“…Among the previous primary urethroplasty types "Tubularized Incised Plate" (TIP) was the commonest procedure (Mean±SE; 22.00±1.73). These findings were equivalent to our previous reports, [9,10] where TIP procedure was considered to be as a versatile method for primary hypospadias repair. However, the number and types of previous procedures did not negatively influence the comparative analysis, as the differences in percentage distribution of the cases in three groups were insignificant.…”

Section: Discussionsupporting

confidence: 91%

Paediatric Redo Urethroplasty for Hypospadias: A Comparative Evaluation

Shahid¹,

Ali²,

Lina³

et al. 2020

ASS

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Introduction: The burden of a failed hypospadias repair can be devastating for a patient and his family. Urethrocutaneous fistula after hypospadias surgery is the most common complication and remains a frustrating problem that precludes the goal of hypospadias surgery leading to failure of primary surgery. Aim of the Study: The aim of this study was to assess the outcome of pediatric salvage urethroplasty for hypospadias and to compare among three procedures. Material & Methods: It was an interventional study which was carried out from July 2011 to June, 2016 in the

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Section: Discussionsupporting

confidence: 91%

Paediatric Redo Urethroplasty for Hypospadias: A Comparative Evaluation

Shahid¹,

Ali²,

Lina³

et al. 2020

ASS

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“…In the present study majority of patients had undergone a variety of hypospadias repairs in the past. Among the previous primary urethroplasty types "Tubularized Incised Plate" (TIP) was the commonest procedure.These findings were equivalent to our previous reports 8,9 , However, the number and types of previous procedures did not negatively influence the comparative analysis, as the differences in percentage distribution of the cases in three groups were insignificant. Similar observations were described byYassinet al 10 .…”

Section: Discussionsupporting

confidence: 89%

Objective Scoring Outcome Analysis of Redo Urethroplasty for Failed Hypospadias

Shahid¹,

Ali²,

Islam³

et al. 2019

TAJ: J of Teachers Assoc

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Background: Failed hypospadias refers to any hypospadias repair that leads to complicationsor causes patient dissatisfaction. One of the commonest major complications of hypospadias surgery is urethrocutaneous fistula. Objectives: Present study aimed to determine a better procedure of salvage urethroplasty for failed hypospadias, caused by persistentlarge (>4mm) or multiple -small (<4mm) fistulae, by a randomized comparison. Patients and Methods. This interventional study was performed in the department of Paediatric Surgery, Rajshahi Medical College Hospital, Rajshahi, Bangladesh, over a period of five years (from July 2011 to June, 2016). A total of 189 patients were included in present study and randomized in the three groups under study. Comparisons were made among three procedures of salvage urethroplasty of failed hypospadias caused by urethrocutaneous fistula using substitution of dorsal skin flap, Flip flap, or buccal mucosal graft in a controlled situation. Outcomes were assessed by means of objective scoring system. Results: Refistula rate, devascularization of flap and grafts and wound dehiscence rate were significantly less in Buccal mucosal graft (group A) than flip flap(group C) and dorsal transposition flap (group B ). This led to a higher success rate and better patient compliance in buccal mucosal graft. The objective scoring evaluation revealed that score gain of BM group (182) was significantly higher than that of dorsal transposition flap (112) and flip flap (89) at P value <0.05 . Conclusion: Staged redo urethroplasty for large or multiple-small fistulae using substitution of buccal mucosal graft revealed as an better option for urethral reconstruction than dorsal transposition flap and flip flap procedures (group A˃ group B ˃group C). TAJ 2018; 31(1): 38-45

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“…These findings were equivalent to our previous reports. [12,13] However, the number and types of previous procedures did not negatively influence the comparative analysis, as the differences in percentage distribution of the cases in three groups were insignificant. Similar observations were described by Yassin et al [14] Mainly for psychological reasons, hypospadias repair was generally performed when patients are aged about 12 months.…”

Section: Discussionmentioning

confidence: 96%

Outcome Analysis of Redo Urethroplasty for Large and Multiple Urethrocutaneous Fistula

Shahid¹,

Karim²,

Ali³

et al. 2018

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Background: Urethrocutaneous fistula is the most common complication of hypospadias surgery. Due to the poor surrounding tissue quality, surgical treatment of these patients represents a complex problem. Objectives: Present study aimed to determine a better procedure of salvage urethroplasty for failed hypospadias, caused by persistent large (>4mm) or multiple-small (<4mm) fistulae, by a randomized comparison. Methods: This interventional study was performed in a single institute over a period of five years. Comparisons were made among three procedures of salvage urethroplasty using substitution of dorsal skin flap, Flip flap, or buccal mucosal graft in a controlled situation. Outcomes were assessed by means of objective scoring system. Results: Refistula rate, devascularization of flap and grafts and wound dehiscence rate were significantly less in Buccal mucosal graft than flip flap and dorsal transposition flap. This led to a higher success rate and better patient compliance in buccal mucosal graft. Though mean duration of hospital stay was significantly longer in buccal mucosal graft compared to other methods, it did not negatively affect patient satisfaction due to overall higher success rate. The objective scoring evaluation revealed that score gain of BM group was significantly higher than that of dorsal transposition flap and flip flap. Conclusion: Staged redo urethroplasty for large or multiple-small fistulae using substitution of buccal mucosal graft revealed as an better option for urethral reconstruction than dorsal transposition flap and flip flap procedures (group A˃ group B ˃group C).

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Tubularised incised plate hypospadias repair: a multicellular experience

Cited by 3 publications

References 0 publications

Paediatric Redo Urethroplasty for Hypospadias: A Comparative Evaluation

Paediatric Redo Urethroplasty for Hypospadias: A Comparative Evaluation

Objective Scoring Outcome Analysis of Redo Urethroplasty for Failed Hypospadias

Outcome Analysis of Redo Urethroplasty for Large and Multiple Urethrocutaneous Fistula

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