Abstract：
PURPOSE:The literature on small intestinal submucosa for chordee correction in children is scarce. We reviewed our experience with 1 ply SIS for ventral corporal body grafting in cases of severe ventral penile curvature associated with proximal hypospadias in children. MATERIALS AND METHODS:From 04-2001 to 12-2007, 58 boys with proximal hypospadias and severe ventral curvature underwent single layered SIS graft to the corporal bodies to correct chordee. In 43 patients the surgery was done in the first stage of a planned 2-stage procedure. Fifteen patients underwent a 1-stage chordee correction with SIS and tubularized transverse preputial flap urethra. RESULTS:Mean follow-up was 4.8 years. A straight phallus with good cosmesis was achieved in 57/58 patients. In 51/58 patients an artificial erection was performed in the operating room as part of a second stage procedure or for complications associated with the one stage urethroplasty. One patient needed a second procedure to correct the curvature (chordee was over-corrected and needed a ventral Nesbitt plication). In fifteen patients that underwent a 1-stage genital reconstruction, the neourethral meatus was left in the lower part of the glans in 8 patients and at the coronal sulcus in 7. CONCLUSIONS:Corporal body grafting with single layer SIS is a viable option for correction of severe chordee associated with corporal body disproportion. SIS is a material with reliable results, easy availability and no donor site associated morbidity. As a result of penile elongation with a graft, simultaneous island flap urethroplasty became difficult in many patients.
journal_name
J Pediatr Uroljournal_title
Journal of pediatric urologyauthors
Castellan M,Gosalbez R,Devendra J,Bar-Yosef Y,Labbie Adoi
10.1016/j.jpurol.2011.03.008subject
Has Abstractpub_date
2011-06-01 00:00:00pages
289-93issue
3eissn
1477-5131issn
1873-4898pii
S1477-5131(11)00084-2journal_volume
7pub_type
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journal_title：Journal of pediatric urology
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journal_title：Journal of pediatric urology
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journal_title：Journal of pediatric urology
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journal_title：Journal of pediatric urology
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journal_title：Journal of pediatric urology
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doi：10.1016/j.jpurol.2013.07.013
更新日期：2014-02-01 00:00:00
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journal_title：Journal of pediatric urology
pub_type： 杂志文章
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更新日期：2019-12-01 00:00:00
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journal_title：Journal of pediatric urology
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更新日期：2020-06-01 00:00:00
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journal_title：Journal of pediatric urology
pub_type： 杂志文章
doi：10.1016/j.jpurol.2016.12.024
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更新日期：2014-12-01 00:00:00
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journal_title：Journal of pediatric urology
pub_type： 杂志文章
doi：10.1016/j.jpurol.2013.03.011
更新日期：2013-12-01 00:00:00
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journal_title：Journal of pediatric urology
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doi：10.1016/j.jpurol.2015.05.032
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abstract：INTRODUCTION AND OBJECTIVES:Vesicoureteral reflux (VUR) has been one of the defining conditions unique to pediatric urology since its inception. The clinical implications of this disease process depend on intrinsic patient factors such as age, genetics, epigenetics, voiding habits, anatomic anomalies, and extrinsic fac...
journal_title：Journal of pediatric urology
pub_type： 杂志文章
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journal_title：Journal of pediatric urology
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journal_title：Journal of pediatric urology
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journal_title：Journal of pediatric urology
pub_type： 杂志文章
doi：10.1016/j.jpurol.2010.10.007
更新日期：2011-02-01 00:00:00
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journal_title：Journal of pediatric urology
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doi：10.1016/j.jpurol.2008.09.002
更新日期：2009-04-01 00:00:00
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journal_title：Journal of pediatric urology
pub_type： 杂志文章
doi：10.1016/j.jpurol.2012.06.016
更新日期：2013-02-01 00:00:00
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journal_title：Journal of pediatric urology
pub_type： 杂志文章
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journal_title：Journal of pediatric urology
pub_type： 杂志文章
doi：10.1016/j.jpurol.2020.09.011
更新日期：2020-12-01 00:00:00
abstract：OBJECTIVE:Iatrogenic ureteral injury in children is a rare occurrence, with sparse literature available regarding optimal repair techniques. We reviewed our experience in the management of iatrogenic pediatric ureteral injuries, particularly with respect to initial versus delayed diagnoses. METHODS:All pediatric iatro...
journal_title：Journal of pediatric urology
pub_type： 杂志文章
doi：10.1016/j.jpurol.2008.08.004
更新日期：2009-02-01 00:00:00
abstract：OBJECTIVE:To prospectively evaluate the efficacy and safety of a perimeatal-based penile skin flap for neourethral coverage after repair of distal hypospadias with tubularized incised plate urethroplasty (TIPU). METHODS:In 12 New Zealand white rabbits a ventral urethral defect was created and reconstruction was accomp...
journal_title：Journal of pediatric urology
pub_type： 杂志文章
doi：10.1016/j.jpurol.2013.12.010
更新日期：2014-06-01 00:00:00
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journal_title：Journal of pediatric urology
pub_type： 杂志文章
doi：10.1016/j.jpurol.2013.02.006
更新日期：2013-10-01 00:00:00
abstract：OBJECTIVE:In principle, the prepuce can be reconstructed during hypospadias repair, but the procedure has not gained wide acceptance and preputial reconstruction (PR) is surrounded by several controversies. MATERIAL AND METHODS:A review is provided of the technique for PR, how PR combines with the other steps of hypos...
journal_title：Journal of pediatric urology
pub_type： 杂志文章,评审
doi：10.1016/j.jpurol.2016.07.018
更新日期：2017-02-01 00:00:00
