Hypospadias
Conditions
Keywords
Hypospadias, Redo repair, Disruption
Brief summary
Redo hypospadias repair is a challenging situation and its success depends on many factors. Several procedures could be used in such situations with variable outcomes. The investigator in this study aimed at comparing the results of these procedures
Detailed description
Purpose: Our study compared the outcome of the tubularized incised plate urethroplasty procedure and other procedures in the case of redo hypospadias repair. Methods: The participants were categorized into those who were treated by the tubularized incised plate procedure (Group A) and those who were treated by other procedures (Group B) and the collected data were compared between the two groups. The patients were examined regularly during the postoperative period for urethral-cutaneous fistula, meatal stenosis, penile curvature, penile skin coverage, and re-disruption.
Interventions
PROCEDURETubularized incised plate procedure
Tubularized incised plate urethroplasty procedure
PROCEDUREOther procedures
Other procedures than tubularized incised plate urethroplasty procedure
Sponsors
Egyptian Biomedical Research Network
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
MALE
Healthy volunteers
No
Inclusion criteria
* Pediatric patients with disrupted hypospadias repair
Exclusion criteria
* Fresh cases of hypospadias
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The number of participants who developed post-operative meatal stricture | at 1 month, 3 months, 6 months, and at the end of the 1st year | assessment of the position of neo-meatus in glans together with its diameter as well as the presence of stenosis as judged by urethral calibration |
| The rate of development of recurrent post-operative chordae | at 1 month, 3 months, 6 months, and at the end of the 1st year | The recurrence of ventral penile chordae as discovered by recurrent ventral penile curvature |
| The incidence of development of postoperative penile skin scarring | at 1 month, 3 months, 6 months, and at the end of the 1st year | Assessment of penile skin coverage as judged by the development of recurrent curvature, torsion and/or disfigurement |
| The incidence of the development of failed repair as discovered by the position of the neo-meatus | at 1 month, 3 months, 6 months, and at the end of the 1st year | Re-disruption the reposition of the neo-meatus to the previous site |
| The incidence of the development of post-operative urethral-cutaneous fistula | at 1 month, 3 months, 6 months, and at the end of the 1st year | The development of post-operative urethral-cutaneous fistula as judged by the development of a second urethral openning proximal to the neo-meatus |
Countries
Egypt
Outcome results
None listed