| Re-operative hypospadias repair using the Snodgrass incised plate urethroplasty. | |
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MedLine Citation:
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PMID: 11298054 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To retrospectively assess the results of tubularized incised plate (Snodgrass) urethroplasty in a series of re-operative hypospadias repairs in children. PATIENTS AND METHODS: The study comprised a follow-up (from 1996 until 2000) of 13 patients (mean age 7.5 years, range 13 months to 27 years) who had at least one previous hypospadias repair and who then underwent a reconstruction using the Snodgrass repair. In all cases the urethroplasty was covered with an additional layer of subcutaneous tissue. The original location, associated complications and results were recorded. In some cases, the long-term follow up was conducted by telephone. RESULTS: Associated complications before the Snodgrass repair included urethral stricture in two, fistula in three and persistent chordee in one patient. The mean (range) follow-up was 22 (9-34) months. The cosmetic results were excellent, with two complications (one patient with a glans dehiscence and a urethrocutaneous fistula, and a second with meatal stenosis). The remaining patients required no further procedures and were voiding normally at the last follow-up. CONCLUSION: Excellent cosmetic and functional results can be obtained using the Snodgrass incised plate urethroplasty for re-operative hypospadias repair. Only one patient in this series had an initial operation in which the urethral plate was previously incised. Therefore, caution should be used when considering an incised plate urethroplasty in these patients. |
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Authors:
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A M Shanberg; K Sanderson; B Duel |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: BJU international Volume: 87 ISSN: 1464-4096 ISO Abbreviation: BJU Int. Publication Date: 2001 Apr |
Date Detail:
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Created Date: 2001-04-12 Completed Date: 2001-05-03 Revised Date: 2006-07-18 |
Medline Journal Info:
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Nlm Unique ID: 100886721 Medline TA: BJU Int Country: England |
Other Details:
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Languages: eng Pagination: 544-7 Citation Subset: IM |
Affiliation:
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Antoci Center for Pediatric Urology and Nephrology, University of California at Irvine Medical Center, Orange, CA, USA. amshanbe@uci.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Child Child, Preschool Follow-Up Studies Humans Hypospadias / surgery* Infant Male Postoperative Complications / etiology Recurrence Reoperation Retrospective Studies Surgical Flaps* Urethra / surgery* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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