PMID: 9434004Jan 20, 1998Paper

One-stage hypospadias repair with stent or suprapubic diversion: which is better?

Journal of Pediatric Surgery
S Demirbilek, H F Atayurt

Abstract

The authors report on 105 consecutive patients who underwent one-stage hypospadias repair based on use of suprapubic diversion or transurethral drainage with stenting. The surgical procedures included 52 metal-based flap urethroplasty (Mathieu) for coronal, subcoronal, and distal shaft hypospadias; 32 transverse island pedicle graft (Duckett) for mid and proximal shaft hypospadias; 21 transverse island pedicle (Duckett) plus rolled midline tube (Thierchs) for penoscrotal and scrotal hypospadias. To accomplish urinary drainage, suprapubic diversion (cystofix) was used in 28 of 52 Mathieu operations, in 17 of 32 Duckett operations, and in 11 of 21 transverse island pedicle graft plus rolled midline tube operations. In the rest of the cases, transurethral drainage with stenting was used. All children had excellent cosmetic and functional outcomes. But the rates of complications such as fistula and meatal stenosis were significantly different between the groups in which suprapubic tube or urethral stent was used. In 56 of the 105 patients in whom suprapubic diversion was used, four (7.14%) had fistulas and three (5.35%) had meatal stenosis, in contrast to a fistula rate of 14.28% and meatal stenosis rate of 12.24% in patients that ...Continue Reading

References

Feb 1, 1986·The Journal of Urology·M E Mitchell, T B Kulb
Oct 1, 1987·The Journal of Urology·R Rabinowitz
Apr 1, 1986·Journal of Pediatric Surgery·D W ManP G Ransley
Jul 1, 1986·The Journal of Urology·R Gonzalez, C Vivas
Jan 1, 1983·The Journal of Urology·E T GonzalesJ Delaune
Dec 1, 1981·Journal of Pediatric Surgery·S H Kim, W H Hendren
Dec 1, 1995·British Journal of Urology·P D MouriquandS Sharma

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Citations

Oct 25, 2008·Journal of Pediatric Urology·Hayrettin OzturkHulya Ozturk
Jun 18, 2003·Urology·Jonathan E Bernie, Madhu Alagiri
Aug 2, 2012·Therapeutic Advances in Urology·Mohamed RadwanMohamed El-Benday
Apr 25, 2012·Journal of Indian Association of Pediatric Surgeons·Uday S Chatterjee, Subir K Chatterjee
Mar 23, 1999·The Urologic Clinics of North America·J G Borer, A B Retik
Apr 10, 2013·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Kuen Yeow ChinRajan Uppal
Dec 30, 2015·African Journal of Paediatric Surgery : AJPS·William Appeadu-MensahPokua Ama Sarpong
May 31, 2002·Journal of Child Health Care : for Professionals Working with Children in the Hospital and Community·Caroline Sanders
Mar 22, 2001·International Journal of Urology : Official Journal of the Japanese Urological Association·Y HayashiK Kohri
Apr 9, 2011·Nature Reviews. Urology·Marco Castagnetti, Alaa El-Ghoneimi

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