[Surgical treatment of hypospadias. Our experience and follow up in 1993-1998].

Abstract:

OBJECTIVE:To review our series of hypospadias. The incidence of the different types of hypospadias and the complication rates according to the different surgical techniques and materials utilized are analyzed. METHODS:We reviewed our series of 130 patients with hypospadias who underwent surgical correction at the Department of Pediatric Urology from 1993-1998. RESULTS:The patients presented the following types of hypospadias: glandular (13 cases), balano-preputial (56), distal penile (42), mid-penile (9), proximal penile (2) and penoscrotal hypospadias (8). The surgical techniques utilized were the Mickulitz meatotomy procedure (6 cases), MAGPI (24), Mathieu (77), Crawford (5), onlay (7), Duckett (3), Retik (4), Duplay (1), Denis-Brown (2) and penoscrotal transposition (1). The complications commonly observed were fistula (20 cases), hematoma (4), stricture of urethral meatus (4), infection (3), megaurethra (3), skin necrosis (1). CONCLUSIONS:Surgical repair of this developmental anomaly is performed when the patient is approximately 18 months old. In our series 15% of the patients developed fistula, which is similar to the complication rate reported in the literature. However, since we started using monofilament resorbable material, the incidence of fistula has dropped from 20% to approximately 5%. Although other factors are involved, the lower incidence of fistula formation may be largely due to a reduced tissue reaction to foreign body.

journal_name

Arch Esp Urol

authors

Larrinaga Simon J,Oliver Llinares F,Yañez Angulo JM,Gamarra Quintanilla M,Gallego Sánchez JA,Guisasola Zabala J,Bernuy Malfaz C

subject

Has Abstract

pub_date

2000-03-01 00:00:00

pages

155-8

issue

2

eissn

0004-0614

issn

1576-8260

journal_volume

53

pub_type

杂志文章
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    authors: Prats López J,Luque Moreno D,Calvo Mateo MA,Banús Gassol JM

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  • [Pneumatic dilatation of urethral stenosis].

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    更新日期:1989-03-01 00:00:00

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  • [Endourologic treatment of uretero-ileal stenosis].

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    doi:

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    doi:

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  • [Should one perform supravesical urinary diversions with excluded bladder in patients with cancer?].

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    更新日期:1997-06-01 00:00:00

  • [Bladder endometriosis simulating a bladder tumor].

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    更新日期:1992-03-01 00:00:00

  • [Mixed transitional cell and small cell carcinoma of the bladder with metastases with neuroendocrine histology only. Case report and bibliography review].

    abstract:OBJECTIVE:To report one case of transitional cell carcinoma with areas of small cell carcinoma presenting in its evolution an adrenal metastasis with the neuroendocrine component only. We perform a bibliography review for the cases of small cell carcinoma of the bladder, its epidemiology, prognosis and treatment. METH...

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    doi:

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    doi:

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