Ventral penile lengthening versus dorsal plication for severe ventral curvature in children with proximal hypospadias

The Journal of Urology
Luis H P BragaAntoine E Khoury

Abstract

The 2 main approaches to correct severe ventral curvature are dorsal plication of the corpora and ventral corporeal lengthening by tunica albuginea patching. Controversy persists since neither technique has been proved to be superior to the other with respect to initial or long-term outcome. However, to our knowledge a direct comparison of outcome of these 2 procedures has not been previously reported. A retrospective review of the records of 100 consecutive patients who underwent repair of penoscrotal or more proximal defects from 1996 to 2004 was performed. Children were divided into 2 groups, including group 1-32 who underwent a ventral penile lengthening procedure and group 2-68 who underwent dorsal plication. Meatal location, preoperative testosterone stimulation, severe ventral curvature (greater than 45 degrees) at the beginning of operation and after degloving, proximal ventral dissection, urethral plate transection and recurrent ventral curvature were compared between the 2 groups. Mean age was 17 months (range 9 to 56) in patients with ventral penile lengthening and 17.8 months (range 10 to 58) in patients with dorsal plication. Mean followup was 65 (range 29 to 120) and 62 months (range 30 to 116), respectively. Of t...Continue Reading

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Citations

Aug 7, 2013·Nature Reviews. Urology·Marcello CimadorMarco Castagnetti
Jul 16, 2014·Der Urologe. Ausg. A·A SoaveM Fisch
Jan 21, 2014·Journal of Pediatric Surgery·Ahmed T Hadidi
Aug 24, 2010·The Journal of Urology·Marco Castagnetti, Alaa El-Ghoneimi
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Apr 22, 2015·International Urology and Nephrology·Chao ChenWei-Ping Zhang
Jan 13, 2015·Pediatric Surgery International·Le Tan SonNguyen Thi Truc Linh
Dec 21, 2014·The Journal of Urology·Marco Castagnetti
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Nov 15, 2016·The Journal of Urology·Christopher J LongDouglas A Canning
Oct 18, 2016·F1000Research·Christopher J Long, Douglas A Canning
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Jun 1, 2013·Arab Journal of Urology·Haytham Badawy, Ahmed Fahmy
Aug 22, 2020·International Braz J Urol : Official Journal of the Brazilian Society of Urology·Marco BandiniRados Djinovic
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May 28, 2020·The Journal of International Medical Research·Bin ZhangShuangsui Ruan
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Aug 21, 2021·Seminars in Pediatric Surgery·Martin Kaefer

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