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Proximal Hypospadias Repair Outcomes in Patients with a Specific Disorder of Sexual Development Diagnosis

Boys with undermasculinized external genital and/or 46,XY disorders of sex development (DSD) often receive masculinizing genitoplasty. Such procedures are done to correct ventral curvature of the phallus, reposition a proximally located urethral meatus, and cosmetically correct the appearance of lab...

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Autores principales: Palmer, Blake W., Reiner, William, Kropp, Brad P.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3388319/
https://www.ncbi.nlm.nih.gov/pubmed/22778726
http://dx.doi.org/10.1155/2012/708301
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author Palmer, Blake W.
Reiner, William
Kropp, Brad P.
author_facet Palmer, Blake W.
Reiner, William
Kropp, Brad P.
author_sort Palmer, Blake W.
collection PubMed
description Boys with undermasculinized external genital and/or 46,XY disorders of sex development (DSD) often receive masculinizing genitoplasty. Such procedures are done to correct ventral curvature of the phallus, reposition a proximally located urethral meatus, and cosmetically correct the appearance of labioscrotal folds. No studies to date have assessed if patients with a specific DSD diagnosis have worse outcomes for severe proximal hypospadias procedures or whether or not these patients require more extensive surgical maneuvers than severe proximal hypospadias patients without a specific DSD diagnosis. We retrospectively reviewed consecutive proximal hypospadias repairs performed at our institution from 1998 to 2010 and compared the anatomy, surgical technique required for repair, and outcomes in patients with and without a definitive DSD diagnosis. Boys with a specific DSD diagnosis do have significantly more atypical anatomy when undergoing proximal hypospadias masculinizing genitoplasties. They are more likely to require associated gonad procedures but do not have an increased risk of complications or number of surgeries when compared to other proximal hypospadias patients without a specific DSD diagnosis. The risk of complications is consistent with reports in the literature, and the mean number of procedures in this contemporary study is fewer than in historic reports.
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spelling pubmed-33883192012-07-09 Proximal Hypospadias Repair Outcomes in Patients with a Specific Disorder of Sexual Development Diagnosis Palmer, Blake W. Reiner, William Kropp, Brad P. Adv Urol Clinical Study Boys with undermasculinized external genital and/or 46,XY disorders of sex development (DSD) often receive masculinizing genitoplasty. Such procedures are done to correct ventral curvature of the phallus, reposition a proximally located urethral meatus, and cosmetically correct the appearance of labioscrotal folds. No studies to date have assessed if patients with a specific DSD diagnosis have worse outcomes for severe proximal hypospadias procedures or whether or not these patients require more extensive surgical maneuvers than severe proximal hypospadias patients without a specific DSD diagnosis. We retrospectively reviewed consecutive proximal hypospadias repairs performed at our institution from 1998 to 2010 and compared the anatomy, surgical technique required for repair, and outcomes in patients with and without a definitive DSD diagnosis. Boys with a specific DSD diagnosis do have significantly more atypical anatomy when undergoing proximal hypospadias masculinizing genitoplasties. They are more likely to require associated gonad procedures but do not have an increased risk of complications or number of surgeries when compared to other proximal hypospadias patients without a specific DSD diagnosis. The risk of complications is consistent with reports in the literature, and the mean number of procedures in this contemporary study is fewer than in historic reports. Hindawi Publishing Corporation 2012 2012-06-20 /pmc/articles/PMC3388319/ /pubmed/22778726 http://dx.doi.org/10.1155/2012/708301 Text en Copyright © 2012 Blake W. Palmer et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Clinical Study
Palmer, Blake W.
Reiner, William
Kropp, Brad P.
Proximal Hypospadias Repair Outcomes in Patients with a Specific Disorder of Sexual Development Diagnosis
title Proximal Hypospadias Repair Outcomes in Patients with a Specific Disorder of Sexual Development Diagnosis
title_full Proximal Hypospadias Repair Outcomes in Patients with a Specific Disorder of Sexual Development Diagnosis
title_fullStr Proximal Hypospadias Repair Outcomes in Patients with a Specific Disorder of Sexual Development Diagnosis
title_full_unstemmed Proximal Hypospadias Repair Outcomes in Patients with a Specific Disorder of Sexual Development Diagnosis
title_short Proximal Hypospadias Repair Outcomes in Patients with a Specific Disorder of Sexual Development Diagnosis
title_sort proximal hypospadias repair outcomes in patients with a specific disorder of sexual development diagnosis
topic Clinical Study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3388319/
https://www.ncbi.nlm.nih.gov/pubmed/22778726
http://dx.doi.org/10.1155/2012/708301
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