Document Detail


Single vs. double dartos interposition flaps in preventing urethrocutaneous fistula after tubularized incised plate urethroplasty in primary distal hypospadias: a prospective randomized study.
MedLine Citation:
PMID:  19829040     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
INTRODUCTION: This prospective study was designed to compare symmetrical overlapping double flaps with a single dartos flap in regard to fistula formation as an adjunct to tubularized incised plate urethroplasty (TIPU). PATIENTS AND METHODS: 77 consecutive children with primary coronal or subcoronal hypospadias were randomized into 2 groups. A single layer dartos flap was used to cover the anastomotic site in the first group (37 patients). A wider dorsal dartos flap bisectioned in the midline was utilized in the second group of 40 patients. The complication rates were compared. RESULTS: There was no difference between the 2 groups in terms of age, and meatal location. Postoperative median follow-up was 34 months. Urethrocutaneous fistula occurred in 3 patients (8.1%) of the monolayer group. No fistula developed in the second group with double flaps. CONCLUSIONS: The current study proposes that the use of double dorsal flaps, although statistically not significant, better prevents fistula formation compared to monolayer dartos flaps following TIPU operation.
Authors:
Ali Erol; Ali Kayikci; Omur Memik; Kamil Cam; Yavuz Akman
Publication Detail:
Type:  Comparative Study; Journal Article; Randomized Controlled Trial     Date:  2009-10-13
Journal Detail:
Title:  Urologia internationalis     Volume:  83     ISSN:  1423-0399     ISO Abbreviation:  Urol. Int.     Publication Date:  2009  
Date Detail:
Created Date:  2009-10-15     Completed Date:  2009-12-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0417373     Medline TA:  Urol Int     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  354-8     Citation Subset:  IM    
Affiliation:
Department of Urology, Duzce University School of Medicine, Duzce, Turkey.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Child
Cutaneous Fistula / prevention & control*
Humans
Hypospadias / pathology,  surgery*
Male
Middle Aged
Prospective Studies
Surgical Flaps*
Urethra / surgery*
Urethral Diseases / prevention & control*
Urinary Fistula / prevention & control*
Urologic Surgical Procedures, Male / methods
Young Adult

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


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