| Autor: |
Faustin, Mouafo, Nwaha Makon, A, Kamadjou, C, Fossi, G, Andze, O, Sosso, M, Mure, P, Faustin, Mouafo Tambo, Nwaha Makon, A S, Andze, O G, Sosso, M A, Mure, P Y |
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| Zdroj: |
African Journal of Paediatric Surgery; Jul-Dec2018, Vol. 15 Issue 3/4, p142-145, 4p, 5 Color Photographs |
| Abstrakt: |
Background: Several surgical approaches or modifications of existing techniques have been described for the repair of hypospadias. In Sub-Saharan Africa, a two-stage approach is the preferred option in proximal cases with severe penile curvature.Objective: The authors describe their experience with one-stage repair of proximal hypospadias with severe penile curvature using the Koyanagi-Hayashi technique.Methodology: Three hundred and ten patients were seen at the outpatient clinic from November 2009 to November 2015. All patients aged between 2 and 17 years with a confirmed diagnosis of proximal hypospadias and operated according to the Koyanagi-Hashashi technique were included in the study.Results: The mean age at diagnosis was 6.7 ± 4.35 years (81 months). The level of the hypospadias was penile in 60%, scrotal 33.5%, and posterior in 6.6% of cases. The most common complications after primary repair were partial breakdown of the urethroplasty (44.8%), urethra-cutaneous fistula (3.3%), dehiscence of the glanuloplasty (22.2%), and recurrent penile curvature (11.1%).Discussion: The high psychological implication of this condition in children and adolescents at the time of diagnosis in our context was a major weakness of our study. However, it turned out to be an advantage as the patients could be involved in the decision-making in as much as the previous gender was taken into consideration.Conclusion: A one-stage repair approach as described by Koyanagi-Hayashi also provides good aesthetic and functional outcome. It thus stands out as an alternative even in our African setting. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
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