Papers

Peer-reviewed Lead author International journal
Jun, 2020

Free Tube Graft Urethroplasty for Repair of Hypospadias

Urologia Internationalis
  • Kenji Obara
  • ,
  • Tatsuhiko  Hoshii
  • ,
  • Sayaka Hoshino
  • ,
  • Kazutoshi  Yamana
  • ,
  • Tsutomu Anraku
  • ,
  • Ryo Maruyama
  • ,
  • Hiroo Kuroki
  • ,
  • Fumio  Ishizaki
  • ,
  • Hiroyuki  Yamazaki
  • ,
  • Yoshihiko Tomita

Volume
104
Number
5-6
First page
386
Last page
390
Language
English
Publishing type
Research paper (scientific journal)
DOI
10.1159/000504146
Publisher
S. Karger AG

INTRODUCTION: We aimed to assess the outcome of free tube graft urethroplasty for single-stage repair of hypospadias with chordee in children. MATERIALS AND METHODS: We retrospectively evaluated a series of 56 patients (16 months to 9 years old, median 24 months) who underwent free graft urethroplasty for repair of hypospadias with chordee between May 2005 and November 2017. The median follow-up was 7 years (range 1-11). RESULTS: After releasing the chordee, the hypospadiac orifice was retracted to become penile in 32 patients (57%), penoscrotal in 18 patients (32%), and scrotal in 6 patients (11%). Single-stage repair was achieved without complications in 42 patients (75%). Of the remaining 14 patients with postoperative complications requiring surgical intervention, 2 had meatal stenosis, 9 had urethrocutaneous fistula, 1 had urethral diverticulum without meatal stenosis, and 1 had meatal regression. One patient who complained the urine stream went upwards in an arc underwent cutback meatoplasty to correct the stream. In all patients, a neomeatus with a vertically oriented slit-like appearance was eventually achieved at the tip of the glans. CONCLUSION: A free graft is an appropriate choice for repairing hypospadias with chordee. Our procedure achieved favorable functional and cosmetic outcomes with a low postoperative morbidity rate.

Link information
DOI
https://doi.org/10.1159/000504146
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/31801150
URL
https://www.karger.com/Article/Pdf/504146
ID information
  • DOI : 10.1159/000504146
  • ISSN : 0042-1138
  • eISSN : 1423-0399
  • Pubmed ID : 31801150

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