| Autor: |
Udo Nagele, Karl-Dietrich Sievert, Andreas Verger, Angela Bohmer, Jörg Seibold, Arnulf Stenzl, Axel S. Merseburger |
| Rok vydání: |
2008 |
| Předmět: |
|
| Zdroj: |
Journal of Pediatric Urology. 4:S87 |
| ISSN: |
1477-5131 |
| DOI: |
10.1016/j.jpurol.2008.01.135 |
| Popis: |
Purpose Meatal mobilisation (MEMO) by distal urethral preparation for distal hypospadias repair has shown to be an improved surgical technique for correction of most of distal hypospadia forms with a primary success rate of 97 %. However major concern using meatal mobilisation is developing stenosis or penile deviation after time. Therefore long-time follow-up (> 5 years postop) was performed in patients who had a primary hypospadias repair using the MEMO technique to show the incidence of meatal stenosis, penile deviation and fistula formation. Material and Methods From May 1997 to June 2006, 218 patients with a mean age of 4,9 years (range 2 i?½ 28 years) had a repair of distal hypospadias, including coronal and subcoronal forms, using the MEMO technique. 104 patients had the operation 5 to 8 years (mean 6.3 years) ago. In 99 of these patients the long-time follow-up (> 5 years postop) was done using physical examination, urine sample, and uroflowmetry, residual urine by ultrasound and an objective symptom score (HOSE). 5 patients were lost of follow-up. Results All patients voided with a good stream without residual urine. No additional stenosis or penile deviation occurred in the follow-up. Out of 99 patients, 93 patients reached the maximum of 16 points using the HOSE symptom score. Conclusions The MEMO technique with its primary success rate of 97 % showed in the long-time follow-up no additional problems in regard to stenosis. In one patient a mild penile deviation was seen without need for surgical correction. The MEMO technique has proven to be a save procedure for most distal hypospadias repair postoperatively and in the long-time follow-up. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect