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Surgical correction of penoscrotal transposition associated with hypospadias and bifid scrotum: our experience of two-stage repair.
MedLine Citation:
PMID:  18947554     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
OBJECTIVE: To assess the results of surgical correction of incomplete penoscrotal transposition and bifid scrotum using the Glenn-Anderson technique, and its impact on subsequent definitive urethroplasties and final outcome. PATIENTS AND METHODS: We retrospectively reviewed 31 children that underwent two-stage repair for incomplete penoscrotal transposition with severe hypospadias and bifid scrotum. Patient age at stage 1 ranged from 12 to 24 months (average 16 months). The operative principle was based on achieving a normal anatomical position of the penis and scrotum using the Glenn-Anderson technique. In cases with associated scrotal or perineal hypospadias this was transformed into a penoscrotal hypospadias. Final stage urethroplasty was performed after a period of 6 months with a modified Thiersch-Duplay technique. RESULTS: Cosmetic and functional results of the Glenn-Anderson operation were excellent. No major complications were observed. Of 31 patients, 12 (38%) had complications secondary to urethral repair. CONCLUSION: The Glenn-Anderson technique for reconstruction of penoscrotal transposition and bifid scrotum is a simple technique, free of major complications. The purpose of this intervention is to improve the cosmetic appearance and function of the penis. A minimum period of 6 months between consecutive urethroplasties is important. The final stage guarantees good functional and cosmetic results preserving the prepuce.
Authors:
F Arena; C Romeo; A Manganaro; S Arena; B Zuccarello; G Romeo
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Publication Detail:
Type:  Journal Article     Date:  2005-03-19
Journal Detail:
Title:  Journal of pediatric urology     Volume:  1     ISSN:  1873-4898     ISO Abbreviation:  -     Publication Date:  2005 Aug 
Date Detail:
Created Date:  2008-10-24     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101233150     Medline TA:  J Pediatr Urol     Country:  England    
Other Details:
Languages:  eng     Pagination:  289-94     Citation Subset:  -    
Affiliation:
Department of Medical and Surgical Pediatric Surgery, Operative Unit of Pediatric Surgery, University of Messina, Via Consolare Valeria, 98125 Messina, Italy.
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