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Inicio Actas Urológicas Españolas (English Edition) Tubularized incised plate repair in 473 primary distal hypospadias cases: An eva...
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Vol. 46. Issue 6.
Pages 361-366 (July - August 2022)
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Vol. 46. Issue 6.
Pages 361-366 (July - August 2022)
Original article
Tubularized incised plate repair in 473 primary distal hypospadias cases: An evaluation of outcomes according to coverages and stent types
Tubularización e incisión de la placa uretral para reparación de hipospadias distal primario en 473 casos: evaluación de los resultados según la cobertura y el tipo de sonda
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M. Okumuşa,
Corresponding author
drmustafaokumus@gmail.com

Corresponding author.
, G.A. Tirelib
a Department of Pediatric Surgery, Yeniyüzyıl University, Medical Faculty, Gaziosmanpaşa Hospital, İstanbul, Turkey
b Department of Pediatric Urology, Türkiye Health Science University, Bakırköy Research and Teaching Hospital, İstanbul, Turkey
Article information
Abstract
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Abstract
Aim

We have previously employed the tubularized incised plate (TIP) repair technique in distal hypospadias cases with a few modifications because of its excellent cosmetic results. In this study, we aimed to evaluate the effects of spongioplasty and dorsal dartos flaps, in addition to short urethral stents on the outcomes of TIP repair.

Materials and Methods

Only distal hypospadias cases were involved in this study. Eligible patients were divided into two groups: group A included patients repaired with both spongioplasty and dorsal dartos flap placement, while group B included patients repaired with dorsal dartos flap placement alone. Group A was further divided into two subgroups according to the type of catheter used (bladder catheter or short urethral stent).

Results

A total of 473 patients were included in this study. There was no statistically significant difference observed in the complication rates between the two groups. In Group A, a bladder catheter was used in 107 patients and a short urethral stent was used in 135 patients. When the results of the two groups were compared, there was no statistically significant difference.

Conclusions

Spongioplasty could be combined with dorsal dartos flap placement to reduce the need for dorsal plication rather than to reduce the fistula rate. Short urethral stents can be used safely with no postoperative effects in children who have completed toilet training.

Keywords:
Spongioplasty
Hypospadias
Dartos flap
Tubularized incised plate
Urethral stent
Resumen
Objetivo

Hemos empleado previamente la técnica de reparación mediante tubularización e incisión de la placa uretral (TIP) con algunas modificaciones en casos de hipospadias distal debido a sus excelentes resultados cosméticos. En este estudio, nos propusimos evaluar los efectos de la espongioplastia y los colgajos de dartos dorsal y de las sondas uretrales cortas en los resultados de la reparación con TIP.

Materiales y método

En este estudio sólo se incluyeron casos de hipospadias distal. Los pacientes elegibles se dividieron en dos grupos: el grupo A incluyó a los pacientes con reparación mediante espongioplastia con colocación de colgajo de dartos dorsal, mientras que el grupo B incluyó a los pacientes sometidos a reparación utilizando colgajo de dartos dorsal. Adicionalmente, el grupo A se dividió en dos subgrupos según el tipo de sonda utilizada (sonda vesical o sonda uretral corta).

Resultados

Un total de 473 pacientes participaron en este estudio. No se observaron diferencias estadísticamente significativas en las tasas de complicaciones entre los dos grupos. En el grupo A se utilizó una sonda vesical en 107 pacientes y una sonda uretral corta en 135 pacientes. No se observaron diferencias estadísticamente significativas al comparar los resultados de los dos grupos.

Conclusiones

La espongioplastia puede combinarse con la colocación de colgajo de dartos dorsal para reducir la necesidad de plicaturas dorsales, además de reducir la tasa de fístulas. Las sondas uretrales cortas pueden utilizarse de forma segura y sin efectos durante el postoperatorio en niños con control de esfínteres.

Palabras clave:
Espongioplastia
Hipospadias
Colgajo de dartos
Túbulo-incisión de la placa uretral
Sonda uretral

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