| Autor: |
Elalfy, Khaled, Awad, Ibrahim, Khalil, Ahmed, Ghazy, Hosam |
| Předmět: |
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| Zdroj: |
Egyptian Journal of Surgery; Jul2015, Vol. 34 Issue 3, p198-202, 5p |
| Abstrakt: |
Introduction Hypospadias is a congenital anomaly occurring in 0.3-5% of newly born males. Techniques for reconstructions of the urethra are: operations using local tissue fl aps especially the prepuce or operations using distant fl aps such as: skin, oral mucosa, bladder mucosa, intestinal mucosa, and tunica vaginalis or vein graft. The aim The aim of this study is to evaluate the effi cacy of autologous saphenous vein graft as a urethral substitute in recurrent and proximal hypospadias. Study design This is a case series study which involved 11 patients (4-15) years old with recurrent or proximal hypospadias who presented to Mansoura university hospital during the period from January 2013 to September 2014. All patients underwent a vein graft as a urethral substitute. Results The follow-up range: (6-19 months), with a median of 10.3 months. Complications developed in 4/11(36%). 1 case suffered from early postoperative penile hematoma, another patient developed early fi stula and 2 cases developed meatal stenosis. Discussion There are various urethral replacement by extra genital tissue which may be needed especially in circumcised infants and those with proximal or recurrent hypospadias. Veins used as urethral substitute usually are: saphenous, external jugular or the internal jugular because of their accessibility, available length and good caliber when compared with the urethral diameter. Although the study has the limitations of small number of cases and short follow up period we believe that it can pave the way for large multicenter studies which may give a new tool adding to our armamentarium in our struggle for the optimum cure for hypospadias especially recurrent and proximal case. Conclusion autologous saphenous vein urethroplasty is a simple, safe, and effective procedure for hypospadias. [ABSTRACT FROM AUTHOR] |
| Databáze: |
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