Surgical Outcome of Proximal Hypospadias with Penoscrotal Transposition / 대한비뇨기과학회지
Korean Journal of Urology
; : 756-759, 1999.
Article
en Ko
| WPRIM
| ID: wpr-166169
Biblioteca responsable:
WPRO
ABSTRACT
PURPOSE: Penoscrotal transposition is found in cases with severe form of hypospadias. In those cases, severe chordee generally coexists and a long length of urethra may be necessary for its correction. We evaluated the clinical outcome of surgical repairs for 12 patients of proximal hypospadias with penoscrotal transposition. MATERIALS AND METHODS: Out of 12 cases, there were 2 with penoscrotal type, 7 with scrotal type and 3 with perineal type hypospadias. All cases had moderate to severe chordee. Five cases were treated with one-stage repair and seven cases with multi-stage repair. We analysed operative methods, postoperative complications and those managements between the cases of one-stage and multi-stage repairs. RESULTS: For one-stage repair, we used transverse preputial island flap method in 3 cases and urethroplasty using scrotal skin flap in 2 cases. For multi-stage repair, we performed Thiersh-Duplay urethroplasty in 2 cases, bladder mucosal graft in 2 cases and Belt-Fugua urethroplasty in 3 cases. Correction of penoscrotal transposition was performed successfully in all cases. In all cases, a paucity of skin was the most difficult problem. The overall complication rate was 50.0%. In cases treated with one-stage repair, there were two cases with urethrocutaneous fistulas. However, in cases treated with multi-stage repair, there were four cases with complications such as urethral strictures, urethrocutaneous fistulas with or without large skin defect. Overall the complications in cases with multi-stage repair were more severe than those in cases with one-stage repair. CONCLUSIONS: Our experience suggests that multi-stage operation may be not superior to one-stage operation in cases with proximal hypospadias associated with penoscrotal transposition. Thus we recommand one-stage repair in those cases despite a paucity of foreskin.
Palabras clave
Texto completo:
1
Índice:
WPRIM
Asunto principal:
Complicaciones Posoperatorias
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Piel
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Uretra
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Estrechez Uretral
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Vejiga Urinaria
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Trasplantes
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Prepucio
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Fístula
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Hipospadias
Límite:
Female
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Humans
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Male
Idioma:
Ko
Revista:
Korean Journal of Urology
Año:
1999
Tipo del documento:
Article