Document Detail

Chordee without hypospadias: complications and management of the hypoplastic urethra.
MedLine Citation:
PMID:  3599257     Owner:  NLM     Status:  MEDLINE    
The surgical correction of chordee without hypospadias may be difficult and result in significant intraoperative and postoperative complications, especially when there is an associated hypoplastic type I urethra. Between 1981 and 1985 we treated 13 patients with this condition. Of the cases 9 had a type I urethra, 3 had type II and 1 had type III, according to the Devine-Horton classification. Postoperatively, glanular tilt persisted in 3 patients, ventral tethering was present in 2 and a fistula developed in 2, for a 54 per cent complication rate. Of the 7 complications 5 occurred in type I cases. Complications may arise from preserving or attempting to preserve a thin hypoplastic urethra. When the paper-thin type I urethra is associated with an abnormal meatus, the entire dysplastic urethra should be reconstructed. If the meatus is normal, clinical judgment must dictate which type I urethras may be preserved and which must be reconstructed.
R S Hurwitz; D Ozersky; H J Kaplan
Related Documents :
17169637 - Buccal mucosal urethroplasty in patients who had multiple previous procedures.
8512367 - Continent diversion vesicoplasty for the treatment of the irreparable, multi-operated u...
19672367 - Use of the processus vaginalis: a new technique for reinforcing the neourethra in hypos...
6719687 - Experience with inflatable penile prosthesis.
21333047 - Radical nephrectomy and inferior vena caval thrombectomy: outcomes in a lower volume pr...
19263117 - Is there a therapeutic role for fetoscopic surgery in the prenatal treatment of gastros...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of urology     Volume:  138     ISSN:  0022-5347     ISO Abbreviation:  J. Urol.     Publication Date:  1987 Aug 
Date Detail:
Created Date:  1987-08-24     Completed Date:  1987-08-24     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0376374     Medline TA:  J Urol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  372-5     Citation Subset:  AIM; IM    
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Child, Preschool
Intraoperative Complications / etiology
Penile Diseases / surgery*
Penis / surgery*
Postoperative Complications / etiology
Urethra / surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Hamartoma of the bladder in a 4-year-old girl with hamartomatous polyps of the gastrointestinal trac...
Next Document:  Onlay island flap in the repair of mid and distal penile hypospadias without chordee.