Urethral advancement technique for repair of distal penile hypospadias: A revisit

Background: Numerous ingenious methods have been described to repair hypospadias with variable results. The anterior urethral advancement technique reported by Chang[1] to repair distal hypospadias has shown encouraging results. We have reevaluated this technique with some modifications to improve...

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Main Author: M.S Awad Mohamed
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2006-01-01
Series:Indian Journal of Plastic Surgery
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1700458
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author M.S Awad Mohamed
author_facet M.S Awad Mohamed
author_sort M.S Awad Mohamed
collection DOAJ
description Background: Numerous ingenious methods have been described to repair hypospadias with variable results. The anterior urethral advancement technique reported by Chang[1] to repair distal hypospadias has shown encouraging results. We have reevaluated this technique with some modifications to improve its results. Materials and Methods: This study was done on 72 patients, 19 cases with glanular hypospadias, 20 cases with coronal hypospadias, 22 cases of subcoronal hypospadias,and 11 cases with anterior penile hypospadias in the period between September 1999 and October 2003. The patients′ age ranged from two years to twenty five years (median age 5.6) years. All the patients were operated using Chang′s technique with our modifications. Results: There were no major complications in any of our patients, no postoperative fistulae or urethral stricture. Three patients had meatal stenosis and preputial edema occurred in 83.3% in non-circumcised patients. Conclusion: Modifications of the anterior advancement technique has produced excellent Results. It is easy to do and learn and also offers good cosmetic and functional results.
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spelling doaj-art-9a02fbd2842b484aa6e9a37b779ddbf62025-08-20T02:20:16ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Plastic Surgery0970-03581998-376X2006-01-013901343810.1055/s-0039-1700458Urethral advancement technique for repair of distal penile hypospadias: A revisitM.S Awad Mohamed0Department of Plastic Surgery, Zagazig University, Zagazig, EgyptBackground: Numerous ingenious methods have been described to repair hypospadias with variable results. The anterior urethral advancement technique reported by Chang[1] to repair distal hypospadias has shown encouraging results. We have reevaluated this technique with some modifications to improve its results. Materials and Methods: This study was done on 72 patients, 19 cases with glanular hypospadias, 20 cases with coronal hypospadias, 22 cases of subcoronal hypospadias,and 11 cases with anterior penile hypospadias in the period between September 1999 and October 2003. The patients′ age ranged from two years to twenty five years (median age 5.6) years. All the patients were operated using Chang′s technique with our modifications. Results: There were no major complications in any of our patients, no postoperative fistulae or urethral stricture. Three patients had meatal stenosis and preputial edema occurred in 83.3% in non-circumcised patients. Conclusion: Modifications of the anterior advancement technique has produced excellent Results. It is easy to do and learn and also offers good cosmetic and functional results.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1700458advancementhypospadiasurethra
spellingShingle M.S Awad Mohamed
Urethral advancement technique for repair of distal penile hypospadias: A revisit
Indian Journal of Plastic Surgery
advancement
hypospadias
urethra
title Urethral advancement technique for repair of distal penile hypospadias: A revisit
title_full Urethral advancement technique for repair of distal penile hypospadias: A revisit
title_fullStr Urethral advancement technique for repair of distal penile hypospadias: A revisit
title_full_unstemmed Urethral advancement technique for repair of distal penile hypospadias: A revisit
title_short Urethral advancement technique for repair of distal penile hypospadias: A revisit
title_sort urethral advancement technique for repair of distal penile hypospadias a revisit
topic advancement
hypospadias
urethra
url http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1700458
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