Surgical Repair of Late Complications in Patients Having Undergone Primary Hypospadias Repair during Childhood: A New Perspective.

Advances in Urology
G BarbagliM Lazzeri

Abstract

Background. The repair of complications in patients who had undergone hypospadias repair is still an open problem. Patients and Methods. We conducted a retrospective study of patients treated for late complications after hypospadias repair. Study inclusion criteria were patients presenting urethral, corpora cavernosa deformity, and/or penile defects due to previous hypospadias repair. Exclusion criteria were precancerous or malignant lesions and incomplete data on personal medical charts. Preoperative evaluation included clinical history, physical examination, urine culture, residual urine measurement, uroflowmetry, urethrography, urethral sonography, and urethroscopy. The patients were classified into four different groups. Success was defined as a normal functional urethra, with apical meatus, no residual penile curvature or esthetic deformity of the genitalia. Results. A total of 1,176 patients were entered in our survey. Out of the 1,176 patients, 301 patients (25.5%) underwent urethroplasty (group 1), 60 (5.2%) corporoplasty (group 2), 166 (14.1%) urethroplasty and corporoplasty (group 3), and 649 (55.2%) complex genitalia resurfacing (group 4). Mean followup was 60.4 months. Out of the 1,176 cases, 1,036 (88.1%) were cons...Continue Reading

References

Feb 16, 2006·European Urology·Guido BarbagliMassimo Lazzeri
Mar 15, 2006·European Urology·Gianantonio Manzoni
Mar 28, 2006·European Urology·Anthony R Mundy
Aug 22, 2008·European Urology·Daniela E Andrich, Anthony R Mundy
Aug 18, 2009·The Journal of Urology·Richard A Santucci
Oct 20, 2009·The Journal of Urology·Antoine Khoury
Oct 23, 2009·The Journal of Urology·Warren T SnodgrassNicholas Cost
Nov 17, 2009·The Journal of Urology·Guido BarbagliMassimo Lazzeri
Dec 24, 2010·BJU International·Anthony R Mundy, Daniela E Andrich
Mar 23, 2011·European Urology·Matthew J JacksonAnthony R Mundy
Jun 30, 2011·Urology·William C Huang

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Citations

Oct 10, 2013·Actas urologicas españolas·J Pérez-NiñoG Sarmiento
Jun 15, 2016·Journal of Pediatric Urology·C J Long, D A Canning
Nov 15, 2016·The Journal of Urology·Christopher J LongDouglas A Canning
Oct 18, 2016·F1000Research·Christopher J Long, Douglas A Canning
May 7, 2016·Current Opinion in Urology·Gino J Vricella, Douglas E Coplen

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