دورية أكاديمية
Foreskin reconstruction vs circumcision in distal hypospadias.
| العنوان: | Foreskin reconstruction vs circumcision in distal hypospadias. |
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| المؤلفون: | Rampersad R; Department of Paediatric Urology, The Royal Children's Hospital Melbourne, 50 Flemington Road, Parkville, VIC, 3052, Australia. rajay_r@hotmail.com., Nyo YL; Department of Paediatric Urology, The Royal Children's Hospital Melbourne, 50 Flemington Road, Parkville, VIC, 3052, Australia., Hutson J; Department of Paediatric Urology, The Royal Children's Hospital Melbourne, 50 Flemington Road, Parkville, VIC, 3052, Australia.; Department of Paediatrics, University of Melbourne, Melbourne, VIC, Australia., O'Brien M; Department of Paediatric Urology, The Royal Children's Hospital Melbourne, 50 Flemington Road, Parkville, VIC, 3052, Australia., Heloury Y; Department of Paediatric Urology, The Royal Children's Hospital Melbourne, 50 Flemington Road, Parkville, VIC, 3052, Australia.; Murdoch Children's Research Institute, Parkville, VIC, Australia. |
| المصدر: | Pediatric surgery international [Pediatr Surg Int] 2017 Oct; Vol. 33 (10), pp. 1131-1137. Date of Electronic Publication: 2017 Aug 30. |
| نوع المنشور: | Comparative Study; Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Springer International Country of Publication: Germany NLM ID: 8609169 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1437-9813 (Electronic) Linking ISSN: 01790358 NLM ISO Abbreviation: Pediatr Surg Int Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Berlin : Springer International, c1986- |
| مواضيع طبية MeSH: | Circumcision, Male/*methods , Foreskin/*surgery , Hypospadias/*surgery , Plastic Surgery Procedures/*methods , Urologic Surgical Procedures, Male/*methods, Child ; Child, Preschool ; Humans ; Infant ; Male ; Retrospective Studies ; Treatment Outcome ; Urethra/surgery |
| مستخلص: | Purpose: The purpose of the study was to determine if there were differences in the complication rates between foreskin reconstruction (FR) and circumcision (CIRC) in distal hypospadias repairs. The primary outcomes were urethrocutaneous fistula (UF) and dehiscence. Methods: The data of distal hypospadias operated between 2005 and 2013 were retrospectively reviewed. The inclusion criteria were any distal hypospadias repair that required an urethroplasty. The exclusion criteria were follow-up <1 year, redo procedures, chordee greater than 20°, and incomplete data. Univariate and multivariate analysis was performed on the results. Results: 213 patients were included (95 FR and 118 CIRC). The 2 groups were comparable for age at surgery 19.32 months in FR and 14.25 months in CIRC. Mathieu repair was more common in FR (47/95-49.47%) than in CIRC (45/118-38.14%). The total subsequent procedures required were 23 in FR and 57 in CIRC. The incidence of UF was 6.3% (6/95) in FR and 27.1% (32/118) in CIRC (p < 0.001, OR 5.52, 95% CI 2.2-13.9). Complete dehiscence rates were 3.16% (3/95) FR vs 11.02% (13/118) for CIRC (p = 0.037, OR 3.8, 95% CI 1.05-13.74). The incidence of patients requiring reoperation was 18.9% (18/95) in FR versus 45.8% (54/118) in CIRC (p < 0.001, OR 3.61, 95% CI 1.93-6.76). Conclusions: Foreskin Reconstruction conferred a significantly lower rate of complications, particularly the UF rate, dehiscence rate, and number of patients that required reoperation. Our rate of complications in the CIRC group is much higher than other published data. |
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| فهرسة مساهمة: | Keywords: Circumcision; Distal hypospadias; Foreskin reconstruction; Preputioplasty; Urethrocutaneous fistula |
| تواريخ الأحداث: | Date Created: 20170901 Date Completed: 20180611 Latest Revision: 20221207 |
| رمز التحديث: | 20231215 |
| DOI: | 10.1007/s00383-017-4151-y |
| PMID: | 28856414 |
| قاعدة البيانات: | MEDLINE |
Find this article in full text from Springer Verlag. 
Full Text Finder | تدمد: | 1437-9813 |
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| DOI: | 10.1007/s00383-017-4151-y |