Vacuum physiotherapy after first stage buccal mucosa graft (BMG) urethroplasty in children with proximal hypospadias
Autor: | P. Krishnappa, S. Sekulović, Francesco Montorsi, Marco Bandini, Alberto Briganti, B. Spiridonescu, Andrea Salonia, Anuj Deep Dangi, Rados Djinovic |
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Přispěvatelé: | Bandini, M., Sekulovic, S., Spiridonescu, B., Dangi, A. D., Krishnappa, P., Briganti, A., Salonia, A., Montorsi, F., Djinovic, R. |
Rok vydání: | 2020 |
Předmět: |
Male
medicine.medical_specialty Urologic Surgical Procedures Male Vacuum Urology Urethroplasty medicine.medical_treatment 030232 urology & nephrology Buccal mucosa 03 medical and health sciences 0302 clinical medicine Urethra medicine Humans Child Physical Therapy Modalities Hypospadias business.industry Mouth Mucosa Infant medicine.disease Diseases of the genitourinary system. Urology medicine.anatomical_structure Child Preschool 030220 oncology & carcinogenesis Physical therapy Referral center Original Article RC870-923 Penile curvature business Penis Parent satisfaction Urinary stream |
Zdroj: | International Brazilian Journal of Urology, Vol 46, Iss 6, Pp 1029-1041 (2020) International braz j urol, Volume: 46, Issue: 6, Pages: 1029-1041, Published: 11 SEP 2020 International braz j urol v.46 n.6 2020 International Braz J Urol Sociedade Brasileira de Urologia (SBU) instacron:SBU International Brazilian Journal of Urology : official journal of the Brazilian Society of Urology |
ISSN: | 1677-6119 1677-5538 |
Popis: | Introduction To assess the feasibility of vacuum physiotherapy meant to decrease graft contraction and recurrent penile curvature (PC), hence successful tubularization and a straight penis in patients underwent two-stage buccal mucosa graft (BMG) urethroplasty, in proximal hypospadias repair. Material and methods Between January 2014 and July 2018, 59 two-stage BMG urethroplasties performed at our referral center, were included in the study. The parents were counseled to use the vacuum device between the two stages. An internal, self-administered, semiquantitative, non-validated questionnaire was designed to record parent and patient adherence to the vacuum physiotherapy and parent satisfaction. Success rate of graft tubularization, curvature correction rates, and status of early (4 months) postoperative urinary stream were evaluated. Results Of 45/59 (76.3%) who returned the questionnaire, 77.8% followed the recommended physiotherapy protocol using the vacuum device. 93.3% of parents replied that the use of the vacuum was easy or moderately easy. None of the parents interrupted the physiotherapy because of perceived difficulty or intolerability. 100% of parents would have repeated the physiotherapy, if they had to. Overall, success rate of tubularization was 98.3% (58/59), complete curvature correction was achieved in 88.2% (52/59) of patients, and 79.7% (47/59) of patients showed a straight and powerful early post-operative urinary stream. Conclusions Physiotherapy with the vacuum device is safe, easy and practically feasible. Our vacuum physiotherapy protocol had high compliance rate. Vacuum physiotherapy should be considered for further assessment in patients undergoing two stage hypospadias repair using buccal mucosa. |
Databáze: | OpenAIRE |
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