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Double breasting spongioplasty in tubularized/tubularized incise plate urethroplasty: A new technique

INTRODUCTION: The main disadvantage of currently described techniques of spongioplasty is superimposition of 3 suture lines (neourethra, spongioplasty, and skin closure) which is likely to increase the chances of a fistula. We describe and evaluate the results of a double breasting spongioplasty in...

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Autores principales: Bhat, Amilal, Bhat, Mahakshit, Kumar, Rajeev, Bhat, Akshita
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5264195/
https://www.ncbi.nlm.nih.gov/pubmed/28197032
http://dx.doi.org/10.4103/0970-1591.194785
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author Bhat, Amilal
Bhat, Mahakshit
Kumar, Rajeev
Bhat, Akshita
author_facet Bhat, Amilal
Bhat, Mahakshit
Kumar, Rajeev
Bhat, Akshita
author_sort Bhat, Amilal
collection PubMed
description INTRODUCTION: The main disadvantage of currently described techniques of spongioplasty is superimposition of 3 suture lines (neourethra, spongioplasty, and skin closure) which is likely to increase the chances of a fistula. We describe and evaluate the results of a double breasting spongioplasty in urethroplasty. METHODS: A prospective study of 60 primary hypospadias was undertaken by double breasting spongioplasty from August 2012 to March 2014. Mobilization of the urethral plate and the spongiosum is done by creating a plane just proximal to the meatus. Double breasting spongioplasty is done after tubularization of urethral plate. First layer of spongiosum is sutured toward lateral side of the neourethra covering the suture line. A second double breasting layer is sutured over the first layer with its suture line toward the opposite side covering the suture line of the first layer; thus avoiding overlapping of suture lines of all the three layers. RESULTS: Age of the patients varied from 10 months to 16 years with a mean and median of 3.73 and 3.50 years, respectively. Hypospadias was distal, mid, and proximal in 38, 10, and 12 cases, respectively. Chordee was noticed in 35 cases and torque in 28 cases. Overall complication rate was 5% and fistula rate was 1.66%. CONCLUSIONS: Double breasting spongioplasty avoids superimposition of suture line and adds two layers of spongiosum over neourethra, thus decreases the chances of urethral fistula and gives cylindrical shape to neourethra.
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spelling pubmed-52641952017-02-14 Double breasting spongioplasty in tubularized/tubularized incise plate urethroplasty: A new technique Bhat, Amilal Bhat, Mahakshit Kumar, Rajeev Bhat, Akshita Indian J Urol Original Article INTRODUCTION: The main disadvantage of currently described techniques of spongioplasty is superimposition of 3 suture lines (neourethra, spongioplasty, and skin closure) which is likely to increase the chances of a fistula. We describe and evaluate the results of a double breasting spongioplasty in urethroplasty. METHODS: A prospective study of 60 primary hypospadias was undertaken by double breasting spongioplasty from August 2012 to March 2014. Mobilization of the urethral plate and the spongiosum is done by creating a plane just proximal to the meatus. Double breasting spongioplasty is done after tubularization of urethral plate. First layer of spongiosum is sutured toward lateral side of the neourethra covering the suture line. A second double breasting layer is sutured over the first layer with its suture line toward the opposite side covering the suture line of the first layer; thus avoiding overlapping of suture lines of all the three layers. RESULTS: Age of the patients varied from 10 months to 16 years with a mean and median of 3.73 and 3.50 years, respectively. Hypospadias was distal, mid, and proximal in 38, 10, and 12 cases, respectively. Chordee was noticed in 35 cases and torque in 28 cases. Overall complication rate was 5% and fistula rate was 1.66%. CONCLUSIONS: Double breasting spongioplasty avoids superimposition of suture line and adds two layers of spongiosum over neourethra, thus decreases the chances of urethral fistula and gives cylindrical shape to neourethra. Medknow Publications & Media Pvt Ltd 2017 /pmc/articles/PMC5264195/ /pubmed/28197032 http://dx.doi.org/10.4103/0970-1591.194785 Text en Copyright: © 2017 Indian Journal of Urology http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Original Article
Bhat, Amilal
Bhat, Mahakshit
Kumar, Rajeev
Bhat, Akshita
Double breasting spongioplasty in tubularized/tubularized incise plate urethroplasty: A new technique
title Double breasting spongioplasty in tubularized/tubularized incise plate urethroplasty: A new technique
title_full Double breasting spongioplasty in tubularized/tubularized incise plate urethroplasty: A new technique
title_fullStr Double breasting spongioplasty in tubularized/tubularized incise plate urethroplasty: A new technique
title_full_unstemmed Double breasting spongioplasty in tubularized/tubularized incise plate urethroplasty: A new technique
title_short Double breasting spongioplasty in tubularized/tubularized incise plate urethroplasty: A new technique
title_sort double breasting spongioplasty in tubularized/tubularized incise plate urethroplasty: a new technique
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5264195/
https://www.ncbi.nlm.nih.gov/pubmed/28197032
http://dx.doi.org/10.4103/0970-1591.194785
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