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Diagnosis and Treatment of Hypospadias With Megameatus Intact Prepuce

Purpose: To evaluate the diagnosis and treatment methods of hypospadias with megameatus intact prepuce (MIP). Materials and Methods: A retrospective analysis was performed in 27 MIP children, 13 of whom underwent tubularized incised plate urethroplasty (TIP procedure), 7 underwent the Duplay procedu...

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Autores principales: Duan, Shou Xing, Li, Jianhong, Jiang, Xuewu, Zhang, Xuan, Ou, Wenhui, Fu, Maxian, Chen, Kaihong, Zheng, Lian, Ma, Shu Hua
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7136419/
https://www.ncbi.nlm.nih.gov/pubmed/32296666
http://dx.doi.org/10.3389/fped.2020.00128
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author Duan, Shou Xing
Li, Jianhong
Jiang, Xuewu
Zhang, Xuan
Ou, Wenhui
Fu, Maxian
Chen, Kaihong
Zheng, Lian
Ma, Shu Hua
author_facet Duan, Shou Xing
Li, Jianhong
Jiang, Xuewu
Zhang, Xuan
Ou, Wenhui
Fu, Maxian
Chen, Kaihong
Zheng, Lian
Ma, Shu Hua
author_sort Duan, Shou Xing
collection PubMed
description Purpose: To evaluate the diagnosis and treatment methods of hypospadias with megameatus intact prepuce (MIP). Materials and Methods: A retrospective analysis was performed in 27 MIP children, 13 of whom underwent tubularized incised plate urethroplasty (TIP procedure), 7 underwent the Duplay procedure, 5 underwent the Mathieu procedure, 1 underwent meatal advancement and glanuloplasty (MAGPI procedure), and 1 underwent the glans approximation procedure (GAP). The patients were followed for 6–36 months to evaluate the surgical outcomes by the Pediatric Penile Perception Score (PPPS). Results: A total of 27 patients with a mean age of 8.12 ± 3.0 years were enrolled in this study, and 25 cases (25/27, 92.6%) were accidentally discovered during the first visit for phimosis. The patients had a formed urethra of 0.5 to 1.5 cm. Complications occurred in 4 of the 27 patients (14.81%): 2 patients with urethral fistula and 2 patients with meatal stenosis. One patient had a case of self-healed urethral fistula, and the remaining 3 patients underwent reoperation. The post-operative effect was satisfactory in all patients, and the urinary flow and stream during urination were normal. The overall average PPPS score of non-operative surgeons and parents was satisfactory. There were no significant differences in meatus appearance, glans appearance, skin appearance, and general appearance PPPS score among the Mathieu, TIP, and Duplay surgical procedures. Conclusions: MIP clinical manifestations are concealed and usually noted when circumcision is attempted. The suitable procedure for each patient should be tailored according to the anatomic features, and several techniques can be used with good functional and cosmetic results.
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spelling pubmed-71364192020-04-15 Diagnosis and Treatment of Hypospadias With Megameatus Intact Prepuce Duan, Shou Xing Li, Jianhong Jiang, Xuewu Zhang, Xuan Ou, Wenhui Fu, Maxian Chen, Kaihong Zheng, Lian Ma, Shu Hua Front Pediatr Pediatrics Purpose: To evaluate the diagnosis and treatment methods of hypospadias with megameatus intact prepuce (MIP). Materials and Methods: A retrospective analysis was performed in 27 MIP children, 13 of whom underwent tubularized incised plate urethroplasty (TIP procedure), 7 underwent the Duplay procedure, 5 underwent the Mathieu procedure, 1 underwent meatal advancement and glanuloplasty (MAGPI procedure), and 1 underwent the glans approximation procedure (GAP). The patients were followed for 6–36 months to evaluate the surgical outcomes by the Pediatric Penile Perception Score (PPPS). Results: A total of 27 patients with a mean age of 8.12 ± 3.0 years were enrolled in this study, and 25 cases (25/27, 92.6%) were accidentally discovered during the first visit for phimosis. The patients had a formed urethra of 0.5 to 1.5 cm. Complications occurred in 4 of the 27 patients (14.81%): 2 patients with urethral fistula and 2 patients with meatal stenosis. One patient had a case of self-healed urethral fistula, and the remaining 3 patients underwent reoperation. The post-operative effect was satisfactory in all patients, and the urinary flow and stream during urination were normal. The overall average PPPS score of non-operative surgeons and parents was satisfactory. There were no significant differences in meatus appearance, glans appearance, skin appearance, and general appearance PPPS score among the Mathieu, TIP, and Duplay surgical procedures. Conclusions: MIP clinical manifestations are concealed and usually noted when circumcision is attempted. The suitable procedure for each patient should be tailored according to the anatomic features, and several techniques can be used with good functional and cosmetic results. Frontiers Media S.A. 2020-03-31 /pmc/articles/PMC7136419/ /pubmed/32296666 http://dx.doi.org/10.3389/fped.2020.00128 Text en Copyright © 2020 Duan, Li, Jiang, Zhang, Ou, Fu, Chen, Zheng and Ma. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Pediatrics
Duan, Shou Xing
Li, Jianhong
Jiang, Xuewu
Zhang, Xuan
Ou, Wenhui
Fu, Maxian
Chen, Kaihong
Zheng, Lian
Ma, Shu Hua
Diagnosis and Treatment of Hypospadias With Megameatus Intact Prepuce
title Diagnosis and Treatment of Hypospadias With Megameatus Intact Prepuce
title_full Diagnosis and Treatment of Hypospadias With Megameatus Intact Prepuce
title_fullStr Diagnosis and Treatment of Hypospadias With Megameatus Intact Prepuce
title_full_unstemmed Diagnosis and Treatment of Hypospadias With Megameatus Intact Prepuce
title_short Diagnosis and Treatment of Hypospadias With Megameatus Intact Prepuce
title_sort diagnosis and treatment of hypospadias with megameatus intact prepuce
topic Pediatrics
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7136419/
https://www.ncbi.nlm.nih.gov/pubmed/32296666
http://dx.doi.org/10.3389/fped.2020.00128
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