Distal Hypospadias Repair, Double Dartos Flap, Microsurgical, Single Dartos Flap
Conditions
Brief summary
This study aims to compare the surgical and functional outcomes of microsurgical single dartos flap versus double dartos flap in distal hypospadias repair.
Detailed description
Hypospadias is recognized as a frequent congenital defect of the male urogenital system, with its prevalence exhibiting significant regional and ethnic disparities globally. Despite continuous improvements in surgical methodology, the development of a urethrocutaneous fistula (UCF) remains a persistent and difficult postoperative challenge. Reported UCF rates fluctuate between 1% and over 20%, heavily influenced by factors such as the initial position of the meatus, the specific surgical approach, and the practitioner's level of expertise. Expanding on the use of a single-layer dartos flap (SDF), recent research has focused on whether a double-layer dartos flap (DDF) provides enhanced protection against fistula formation.
Interventions
PROCEDUREMicrosurgical Single Dartos Flap
Patients will undergo Microsurgical Single Dartos Flap.
PROCEDUREMicrosurgical Double Dartos Flap
Patients will undergo Microsurgical Double Dartos Flap.
Sponsors
Tanta University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
6 Months to 18 Years
Healthy volunteers
No
Inclusion criteria
* Male patients diagnosed with Distal Hypospadias. * Age: From 6 months to 18 years. * Primary cases. * Uretheral Plate\>8mm. * Glanular width≥14mm.
Exclusion criteria
* Coronal and glanular hypospadias. * Severe chordee. * Associated disorders of sexual development. * Un-controlled bleeding disorders.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Incidence of the Uethrocutaneous fistula | 6 months after surgery | Incidence of the Uethrocutaneous fistula will be recorded. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Incidence of the meatal stenosis | 6 months after surgery | Incidence of the meatal stenosis will be recorded. |
| Wound infection rate | 6 months after surgery | Wound infection rate will be recorded. |
| Cosmetic appearance | 6 months after surgery | Cosmetic appearance will be recorded. |
| Overall complication rate | 6 months after surgery | Overall complication rate will be recorded. |
Countries
Egypt
Contacts
CONTACTAhmed M Goda, MBBCH
Outcome results
None listed