Comparison of variables affecting the surgical outcomes of tubularized incised plate urethroplasty in adult and pediatric hypospadias

Journal of Pediatric Urology
Amilal BhatG Saksena

Abstract

The American Academy of Pediatrics recommends operating on hypospadias between the ages of 6-12 months. Since most births in developed countries are conducted in a hospital, parents are likely to be well informed and counseled about the hypospadias. However, significant numbers of births in developing countries are still conducted at home, with illiteracy, poverty and ignorance often leading to late presentation at the hospital. Reported hypospadias-repair complication rates are higher in adults compared with those having surgery in childhood. The present study's objective was to evaluate the factors affecting surgical outcome in hypospadias patients undergoing tubularized and tubularized incised plate urethroplasty (TIPU) in adulthood compared with childhood. A prospective study of 60 adult patients >16 years, and 60 pediatric patients <5 years who underwent TIPU for primary hypospadias between May 2008 and May 2012. Patients were operated on by a single surgeon, under similar circumstances, and were pre-operatively examined to assess meatal location, chordee, and torsion; they were also examined intra-operatively for quality of spongiosum and urethral plate width. The outcomes were assessed by patient/parents for satisfaction...Continue Reading

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Citations

Jun 15, 2016·Journal of Pediatric Urology·C J Long, D A Canning
May 31, 2017·Journal of Tissue Engineering and Regenerative Medicine·Dorien E C M de VochtPetra de Graaf
Oct 18, 2016·F1000Research·Christopher J Long, Douglas A Canning
Sep 13, 2017·Der Urologe. Ausg. A·I Rübben, R Stein
Feb 7, 2020·Nature Reviews. Urology·Yvonne Y ChanArun K Sharma
Jul 10, 2021·Frontiers in Pediatrics·Maria Virginia AmestyMagdalena Fossum

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