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Objective long-term evaluation after distal hypospadias repair using the meatal mobilization technique.
MedLine Citation:
PMID:  20450394     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
OBJECTIVE: Meatal mobilization (MEMO) by distal urethral preparation has been demonstrated to be an efficient surgical technique for the correction of distal hypospadias offering excellent short-term success rates. This study objectively evaluates individual patient satisfaction using a validated score in the long term.
MATERIAL AND METHODS: A total of 218 patients who underwent hypospadias repair using the MEMO technique was identified. Of these, 104 (mean age at time of surgery 4.9 years, range 2-28 years) had a minimum follow-up of 5 years and were eligible for the study. They were investigated by physical examination and self-assessment. An objective evaluation using the validated Hypospadias Objective Scoring Evaluation (HOSE) was done in all patients.
RESULTS: Mean follow-up was 6.3 (range 5-8) years. Ninety-nine patients participated in the investigation, an overall survey response rate of 95.2%. One urethrocutaneous fistula occurred, but no cases of stenosis were noted. One patient developed a mild penile deviation during the postoperative follow-up. Ninety-three out of 99 patients reached the maximum of 16 points (median 15, range 12-16) on the HOSE symptom score.
CONCLUSION: The MEMO technique demonstrates a surgical success rate of 97% after 2 years. Even in the long-term follow-up of a mean 6.3 years objective outcome data and individual patient satisfaction were excellent. MEMO is a reliable and versatile method for distal hypospadias repair, as reflected by high patient satisfaction.
Authors:
Joerg Seibold; Maren Werther; Saladin Alloussi; Georgios Gakis; David Schilling; Daniela Colleselli; Arnulf Stenzl; Christian Schwentner
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Publication Detail:
Type:  Journal Article     Date:  2010-05-07
Journal Detail:
Title:  Scandinavian journal of urology and nephrology     Volume:  44     ISSN:  1651-2065     ISO Abbreviation:  Scand. J. Urol. Nephrol.     Publication Date:  2010 Nov 
Date Detail:
Created Date:  2010-10-19     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0114501     Medline TA:  Scand J Urol Nephrol     Country:  England    
Other Details:
Languages:  eng     Pagination:  298-303     Citation Subset:  IM    
Affiliation:
Department of Urology, Eberhard-Karls University, Tuebingen, Germany.
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