THE OUTCOME OF LONGITUDINAL DORSAL ISLAND FLAP FOR REPAIR OF HYPOSPADIAS IN CIRCUMCISED PATIENTS AND THOSE WITH FAILED PREVIOUS REPAIR | ||
Basrah Journal of Surgery | ||
Article 8, Volume 26, Issue 2, December 2020, Pages 48-54 | ||
Document Type: Research Paper | ||
DOI: 10.33762/bsurg.2020.167512 | ||
Authors | ||
Majed Asgar Mohammad* 1; Firas Shakir Attar1; Khaldon Sadek Alkhateep2 | ||
1MB,ChB, FIBMS, Assistant Professors of urology at Basrah College of Medicine, University of Basrah, Consultant Urologists at Basrah Teaching Hospital, Basrah. | ||
2MB,ChB, FIBMS, Specialist Urologist at Al-Mawani General Hospital, Basrah, IRAQ. | ||
Abstract | ||
Patients with penoscrotal, proximal shaft and mid shaft hypospadias who were previously circumcised or patients with insufficient urethral plate such as those with severe chordee that cannot be corrected just by simple degloving, or failure of previous hypospadias repair, such patients represent a challenge for subsequent repair and appropriate procedure choice. The aim of this study is to assess the outcome of longitudinal dorsal island flap (LDIF) by both onlay and tubularized repair for patients with hypospadias who were previously circumcised or had poorly developed urethral plate. This prospective study was done on 36 patients who had penoscrotal, proximal and mid shaft hypospadias and were previously circumcised or had poorly developed urethral plate. Twenty four of them were operated upon by using onlay LDIF and 12 patients by using tubularized LDIF. Patients were followed-up for 12 months to look for any complication for these 2 types of surgeries and for assessing the functional outcome of the repair. The success rate for onlay LIDF was 75% and for tubularized LIDF was 58.33%. Overall complications occurred in 11 (30.55%) children. In conclusion, LDIF can be used successfully for repair of hypospadias in circumcised children or those with failed previous repair. Keywords: Hypospadias, LDIF, failed repair, tabularized incised plate urethroplasty | ||
Keywords | ||
Hypospadias; LDIF; failed repair; tabularized incised plate urethroplasty | ||
Supplementary Files
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Full Text | ||
Introduction Patients and methods Results Table I: Number of patients in each age group.
Table IV: The average length of the required urethral repair.
Figure 1: Success rate for each onlay and tubularized LDIF repair
Figure 2: Flow rate ml per second in 3, 6 and 12 months follow-up.
Discussion | ||
References | ||
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