Cargando…

Comparison of Dartos flap and spongioplasty in Snodgrass urethroplasty in distal penile hypospadias

BACKGROUND: Hypospadias surgery has been continuously evolving, although there is no single technique which can be said to be perfect and suitable for all types of hypospadias. Tubularized incised plate (TIP) urethroplasty (Snodgrass procedure) is presently the most common surgical procedure perform...

Descripción completa

Detalles Bibliográficos
Autores principales: Verma, Anju, Murtaza, Shahid, Kundal, Vijay Kumar, Sen, Amita, Gali, Divya
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9648594/
https://www.ncbi.nlm.nih.gov/pubmed/36474978
http://dx.doi.org/10.1136/wjps-2021-000294
_version_ 1784827614162059264
author Verma, Anju
Murtaza, Shahid
Kundal, Vijay Kumar
Sen, Amita
Gali, Divya
author_facet Verma, Anju
Murtaza, Shahid
Kundal, Vijay Kumar
Sen, Amita
Gali, Divya
author_sort Verma, Anju
collection PubMed
description BACKGROUND: Hypospadias surgery has been continuously evolving, although there is no single technique which can be said to be perfect and suitable for all types of hypospadias. Tubularized incised plate (TIP) urethroplasty (Snodgrass procedure) is presently the most common surgical procedure performed for distal penile hypospadias (DPH). The aim of this study was to compare the outcome of TIP urethroplasty using Dartos flap (DF) and spongioplasty as second layer in DPH. METHODS: A total of 30 patients of DPH were repaired using TIP urethroplasty with DF or spongioplasty as second layer from January 2017 to June 2018. Out of 30 patients, TIP with DF was done in 15 patients (group A) and TIP with spongioplasty was done in the remaining 15 patients (group B). Preoperative mean age and weight were comparable in both groups. Postoperative complications, namely, postoperative edema, residual chordee, urethrocutaneous fistula (UCF), meatal stenosis and final cosmesis, were recorded. RESULTS: In both groups, complications included postoperative edema (Gp A-1Gp B-1), residual chordee (Gp A-1, Gp B-1), UCF (Gp A-3, Gp B-4), meatal stenosis (Gp A-1, Gp B-5) and poor cosmesis (Gp A-3, Gp B-4). Wound infection was managed with appropriate antibiotics, and meatal stenosis responded to calibration in five patients. Although it seems that DF has a better outcome clinically, the difference between the two techniques was statistically not significant. CONCLUSION: DF as an additional cover to TIP is associated with an acceptable complication and has good cosmesis compared with spongioplasty; however, the difference is not statistically significant.
format Online
Article
Text
id pubmed-9648594
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher BMJ Publishing Group
record_format MEDLINE/PubMed
spelling pubmed-96485942022-12-05 Comparison of Dartos flap and spongioplasty in Snodgrass urethroplasty in distal penile hypospadias Verma, Anju Murtaza, Shahid Kundal, Vijay Kumar Sen, Amita Gali, Divya World J Pediatr Surg Original Research BACKGROUND: Hypospadias surgery has been continuously evolving, although there is no single technique which can be said to be perfect and suitable for all types of hypospadias. Tubularized incised plate (TIP) urethroplasty (Snodgrass procedure) is presently the most common surgical procedure performed for distal penile hypospadias (DPH). The aim of this study was to compare the outcome of TIP urethroplasty using Dartos flap (DF) and spongioplasty as second layer in DPH. METHODS: A total of 30 patients of DPH were repaired using TIP urethroplasty with DF or spongioplasty as second layer from January 2017 to June 2018. Out of 30 patients, TIP with DF was done in 15 patients (group A) and TIP with spongioplasty was done in the remaining 15 patients (group B). Preoperative mean age and weight were comparable in both groups. Postoperative complications, namely, postoperative edema, residual chordee, urethrocutaneous fistula (UCF), meatal stenosis and final cosmesis, were recorded. RESULTS: In both groups, complications included postoperative edema (Gp A-1Gp B-1), residual chordee (Gp A-1, Gp B-1), UCF (Gp A-3, Gp B-4), meatal stenosis (Gp A-1, Gp B-5) and poor cosmesis (Gp A-3, Gp B-4). Wound infection was managed with appropriate antibiotics, and meatal stenosis responded to calibration in five patients. Although it seems that DF has a better outcome clinically, the difference between the two techniques was statistically not significant. CONCLUSION: DF as an additional cover to TIP is associated with an acceptable complication and has good cosmesis compared with spongioplasty; however, the difference is not statistically significant. BMJ Publishing Group 2021-07-22 /pmc/articles/PMC9648594/ /pubmed/36474978 http://dx.doi.org/10.1136/wjps-2021-000294 Text en © Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) .
spellingShingle Original Research
Verma, Anju
Murtaza, Shahid
Kundal, Vijay Kumar
Sen, Amita
Gali, Divya
Comparison of Dartos flap and spongioplasty in Snodgrass urethroplasty in distal penile hypospadias
title Comparison of Dartos flap and spongioplasty in Snodgrass urethroplasty in distal penile hypospadias
title_full Comparison of Dartos flap and spongioplasty in Snodgrass urethroplasty in distal penile hypospadias
title_fullStr Comparison of Dartos flap and spongioplasty in Snodgrass urethroplasty in distal penile hypospadias
title_full_unstemmed Comparison of Dartos flap and spongioplasty in Snodgrass urethroplasty in distal penile hypospadias
title_short Comparison of Dartos flap and spongioplasty in Snodgrass urethroplasty in distal penile hypospadias
title_sort comparison of dartos flap and spongioplasty in snodgrass urethroplasty in distal penile hypospadias
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9648594/
https://www.ncbi.nlm.nih.gov/pubmed/36474978
http://dx.doi.org/10.1136/wjps-2021-000294
work_keys_str_mv AT vermaanju comparisonofdartosflapandspongioplastyinsnodgrassurethroplastyindistalpenilehypospadias
AT murtazashahid comparisonofdartosflapandspongioplastyinsnodgrassurethroplastyindistalpenilehypospadias
AT kundalvijaykumar comparisonofdartosflapandspongioplastyinsnodgrassurethroplastyindistalpenilehypospadias
AT senamita comparisonofdartosflapandspongioplastyinsnodgrassurethroplastyindistalpenilehypospadias
AT galidivya comparisonofdartosflapandspongioplastyinsnodgrassurethroplastyindistalpenilehypospadias