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Grafted Tubularised Incised Plate: A Right Option in the Management of Failed Mid-Penile and Distal Hypospadias

INTRODUCTION: Hypospadias is a common congenital anomaly of the urogenital system. The goal of the initial repair is to correct any curvature, ensuring that the penis is straight, allowing for successful intercourse, to create a functional neourethra to direct the urinary stream in a forward directi...

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Autores principales: Nerli, Rajendra B., Chandra, Shoubhik, Rai, Shreyas, Dixit, Neeraj S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10450109/
https://www.ncbi.nlm.nih.gov/pubmed/37470555
http://dx.doi.org/10.4103/ajps.ajps_19_22
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author Nerli, Rajendra B.
Chandra, Shoubhik
Rai, Shreyas
Dixit, Neeraj S.
author_facet Nerli, Rajendra B.
Chandra, Shoubhik
Rai, Shreyas
Dixit, Neeraj S.
author_sort Nerli, Rajendra B.
collection PubMed
description INTRODUCTION: Hypospadias is a common congenital anomaly of the urogenital system. The goal of the initial repair is to correct any curvature, ensuring that the penis is straight, allowing for successful intercourse, to create a functional neourethra to direct the urinary stream in a forward direction and to produce a cosmetically normal-appearing penis with a slit-like meatus at the tip of the glans. Failures and complications do occur. Failed hypospadias repair is often associated with penile skin loss or deficient local tissue, which leaves the penis short, scarred and hypovascular. Repair of a failed hypospadias surgery represents one of the most challenging and difficult tasks. We retrospectively evaluated our series of children who underwent reoperative grafted tubularised incised plate (G-TIP) repair for a mid-penile or distal penile hypospadias. MATERIALS AND METHODS: With permission obtained from the university/institutional ethics committee, we retrospectively reviewed the inpatient and outpatient records of all children ≤18 years of age who underwent a reoperative G-TIP hypospadias repair. RESULTS: During the study period, a total of 22 children (mean age: 6.8 years) underwent reoperative G-TIP repair. The mean number of previous repairs was 1.36. Nine (40.9%) of the children had persisting chordee. Complications were noted in five (22.7%) children. CONCLUSION: G-TIP is a good option in the management of mid-penile or distal penile failed hypospadias repairs. Although complications are noted, they are easily manageable.
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spelling pubmed-104501092023-08-26 Grafted Tubularised Incised Plate: A Right Option in the Management of Failed Mid-Penile and Distal Hypospadias Nerli, Rajendra B. Chandra, Shoubhik Rai, Shreyas Dixit, Neeraj S. Afr J Paediatr Surg Original Article INTRODUCTION: Hypospadias is a common congenital anomaly of the urogenital system. The goal of the initial repair is to correct any curvature, ensuring that the penis is straight, allowing for successful intercourse, to create a functional neourethra to direct the urinary stream in a forward direction and to produce a cosmetically normal-appearing penis with a slit-like meatus at the tip of the glans. Failures and complications do occur. Failed hypospadias repair is often associated with penile skin loss or deficient local tissue, which leaves the penis short, scarred and hypovascular. Repair of a failed hypospadias surgery represents one of the most challenging and difficult tasks. We retrospectively evaluated our series of children who underwent reoperative grafted tubularised incised plate (G-TIP) repair for a mid-penile or distal penile hypospadias. MATERIALS AND METHODS: With permission obtained from the university/institutional ethics committee, we retrospectively reviewed the inpatient and outpatient records of all children ≤18 years of age who underwent a reoperative G-TIP hypospadias repair. RESULTS: During the study period, a total of 22 children (mean age: 6.8 years) underwent reoperative G-TIP repair. The mean number of previous repairs was 1.36. Nine (40.9%) of the children had persisting chordee. Complications were noted in five (22.7%) children. CONCLUSION: G-TIP is a good option in the management of mid-penile or distal penile failed hypospadias repairs. Although complications are noted, they are easily manageable. Wolters Kluwer - Medknow 2023 2023-01-19 /pmc/articles/PMC10450109/ /pubmed/37470555 http://dx.doi.org/10.4103/ajps.ajps_19_22 Text en Copyright: © 2023 African Journal of Paediatric Surgery https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Nerli, Rajendra B.
Chandra, Shoubhik
Rai, Shreyas
Dixit, Neeraj S.
Grafted Tubularised Incised Plate: A Right Option in the Management of Failed Mid-Penile and Distal Hypospadias
title Grafted Tubularised Incised Plate: A Right Option in the Management of Failed Mid-Penile and Distal Hypospadias
title_full Grafted Tubularised Incised Plate: A Right Option in the Management of Failed Mid-Penile and Distal Hypospadias
title_fullStr Grafted Tubularised Incised Plate: A Right Option in the Management of Failed Mid-Penile and Distal Hypospadias
title_full_unstemmed Grafted Tubularised Incised Plate: A Right Option in the Management of Failed Mid-Penile and Distal Hypospadias
title_short Grafted Tubularised Incised Plate: A Right Option in the Management of Failed Mid-Penile and Distal Hypospadias
title_sort grafted tubularised incised plate: a right option in the management of failed mid-penile and distal hypospadias
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10450109/
https://www.ncbi.nlm.nih.gov/pubmed/37470555
http://dx.doi.org/10.4103/ajps.ajps_19_22
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