| Experience with 81, 1-stage hypospadias/chordee repairs with free graft urethroplasties. | |
| | |
MedLine Citation:
|
PMID: 2374234 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
We performed 81, 1-stage hypospadias/chordee repairs with preputial free graft urethroplasty between January 1981 and July 1988 using a modified Horton-Devine technique. Of the free grafts 37 were fashioned as patches, 42 as tubes, and 4 as a combination patch and tube. Of the patients 58 (72%) underwent single or multiple dorsal plications, in addition to the usual procedures, to correct chordee completely. A total of 35 patients (43%) required a second procedure: 28 (34%) for persistent fistula and 7 (9%) for stricture. These reoperations were typically minor outpatient procedures. All patients had an excellent functional and cosmetic outcome. Although the need for reoperation unfortunately is high, we believe the use of free grafts allows for a better functional and cosmetic outcome because the secondary torsion and bulkiness of the penile shaft caused by the vascular pedicle are eliminated. This is especially noticeable in patients with a small penis. |
| | |
Authors:
|
P E Rober; A D Perlmutter; C Reitelman |
Related Documents
:
|
8879394 - A new technique for hemodialysis access surgery: use of the pneumatic tourniquet. 10871084 - Recalcitrant post-surgical neuropathy of the ulnar nerve at the elbow: treatment with a... 16434944 - Retrospective comparison of a heparin bonded eptfe graft and saphenous vein for infrage... 23425064 - Biofeedback therapy in constipated, female patients and caused by radical hysterectomy ... 15716214 - Long-term use of sedative hypnotics in older patients with insomnia. 12463664 - Septic arthritis of the shoulder in children in malawi. a randomised, prospective study... |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: The Journal of urology Volume: 144 ISSN: 0022-5347 ISO Abbreviation: J. Urol. Publication Date: 1990 Aug |
Date Detail:
|
Created Date: 1990-08-30 Completed Date: 1990-08-30 Revised Date: 2004-11-17 |
Medline Journal Info:
|
Nlm Unique ID: 0376374 Medline TA: J Urol Country: UNITED STATES |
Other Details:
|
Languages: eng Pagination: 526-9; discussion 530 Citation Subset: AIM; IM |
Affiliation:
|
Department of Urology, Children's Hospital of Michigan, Wayne State University, Detroit. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Child, Preschool Humans Hypospadias / surgery* Male Methods Penis / surgery Postoperative Complications Reoperation Skin Transplantation* Urethra / surgery* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Sleeve advancement distal hypospadias repair.
Next Document: Endoscopic correction of vesicoureteral reflux: our experience with 115 ureters.