NDLI: Urethral strictures following urethral plate and proximal urethral elevation during proximal TIP hypospadias repair.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Snodgrass, Warren T. Granberg, Candace Bush, Nicol Corbin
Description	Author Affiliation: Snodgrass WT ( University of Texas Southwestern Medical Center, USA)
Abstract	INTRODUCTION: We previously described urethral plate (UP) dissection and urethral mobilization from the corpora cavernosa to achieve or facilitate straightening ventral curvature while preserving the UP for TIP in boys with proximal hypospadias. The original patients had similar complications to those undergoing proximal TIP without UP elevation. Subsequently an increased occurrence of neourethra strictures in those with UP elevation and urethral mobilization was recognized, and is now reported. MATERIALS: Information on consecutive patients with proximal TIP repair with and without UP elevation and urethral mobilization by a single surgeon was reviewed in a database with pre-determined data points entered on the day of service. RESULTS: There were 76 proximal TIP patients with follow up, 29 with and 47 without UP elevation and urethral mobilization, with strictures developing in 5 (17%) and 0, respectively, p = 0.01. All strictures were symptomatic (UTI, urinary retention), 0.1-1.0 cm long, and diagnosed at ≤1.5 years after surgery. CONCLUSIONS: UP elevation and urethral mobilization with TIP resulted in focal devascularization of the neourethra with symptomatic stricture development. Although most patients with these straightening maneuvers did not have stricture, we no longer recommend UP elevation and urethral mobilization with proximal TIP repair.
File Format	HTM / HTML
ISSN	14775131
Part	Pt B
Volume Number	9
e-ISSN	18734898
Journal	Journal of Pediatric Urology
Issue Number	6
Language	English
Publisher	Elsevier
Publisher Date	2013-12-01
Publisher Place	Great Britain (UK)
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Urology Discipline Pediatrics Hypospadias Surgery Reconstructive Surgical Procedures Adverse Effects Urethra Urethral Stricture Etiology Urologic Surgical Procedures, Male Adolescent Child Child, Preschool Follow-up Studies Humans Infant Male Methods Retrospective Studies Journal Article Review
Content Type	Text
Resource Type	Article
Subject	Urology Pediatrics, Perinatology and Child Health

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

Commentary to 'Urethral strictures following urethral plate and proximal urethral elevation during proximal TIP hypospadias repair'.

Etiology and outcome of the perineal repair of posterior and bulbar urethral strictures in children: a single surgeon experience.

Tubularized incised plate proximal hypospadias repair: Continued evolution and extended applications.

Urethral plate grafting improves the results of tubularized incised plate urethroplasty in primary hypospadias.

Male urethral strictures and their management.

Post-traumatic posterior urethral stricture in children: how to achieve a successful repair.

Urethral advancement in hypospadias with a distal division of the corpus spongiosum: outcome in 158 cases.

Which type of urethroplasty in failed hypospadias repair? An 8-year follow up.

Outcome analysis of tubularized incised urethral plate using dorsal dartos flap for proximal penile hypospadias repair.

Urethral strictures following urethral plate and proximal urethral elevation during proximal TIP hypospadias repair.

Similar Documents

Commentary to 'Urethral strictures following urethral plate and proximal urethral elevation during proximal TIP hypospadias repair'.

Etiology and outcome of the perineal repair of posterior and bulbar urethral strictures in children: a single surgeon experience.

Tubularized incised plate proximal hypospadias repair: Continued evolution and extended applications.

Urethral plate grafting improves the results of tubularized incised plate urethroplasty in primary hypospadias.

Male urethral strictures and their management.

Post-traumatic posterior urethral stricture in children: how to achieve a successful repair.

Urethral advancement in hypospadias with a distal division of the corpus spongiosum: outcome in 158 cases.

Which type of urethroplasty in failed hypospadias repair? An 8-year follow up.

Outcome analysis of tubularized incised urethral plate using dorsal dartos flap for proximal penile hypospadias repair.

Urethral strictures following urethral plate and proximal urethral elevation during proximal TIP hypospadias repair.