Journal of Ayub Medical College, Abbottabad : JAMC · 2004
An audit of single stage hypospadias repair at Ayub Hospital Complex, Abbottabad.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Khattak Irfan U, Akbar Mohammad, Nawaz Mohammad, Al-Saleh Ali, Noor Bakhmal, Zia-ur-Rehman
Аннотация
BACKGROUND: Single-stage hypospadias repair is increasingly being performed. We report our experience at a general surgical unit.
METHODS: The first one hundred repairs are included in this observational study, set up to evaluate our results. Hypospadias was graded as distal, penile shaft or peno-scrotal, with or without chordee. A single stage procedure of urethral plate elevation. excision of fibrous tissue with preputial onlay flap was used in all patients.
RESULTS: First 100 operated patients are included in this study. Frequency of major complications was 33%. including fistula (17%), meatal stenosis (7%), premature tube dislodgment (3%). epidermal sloughing and persistent chordee (2% each), and retained tube and torsion penis (1% each). Fistula rate was high (17%). Success in fistula repair was low (53%). In five patients (5%) the urethral plate was transected as it was too short and fibrosed.
CONCLUSIONS: Patients presented early. This procedure may successfully relieve chordee except in peno-scrotal cases. Fistula is a common complication. Early fistula repair may improve outcome. One fourth of the children had a poor cosmetic result. It was not a major concern for parents.
METHODS: The first one hundred repairs are included in this observational study, set up to evaluate our results. Hypospadias was graded as distal, penile shaft or peno-scrotal, with or without chordee. A single stage procedure of urethral plate elevation. excision of fibrous tissue with preputial onlay flap was used in all patients.
RESULTS: First 100 operated patients are included in this study. Frequency of major complications was 33%. including fistula (17%), meatal stenosis (7%), premature tube dislodgment (3%). epidermal sloughing and persistent chordee (2% each), and retained tube and torsion penis (1% each). Fistula rate was high (17%). Success in fistula repair was low (53%). In five patients (5%) the urethral plate was transected as it was too short and fibrosed.
CONCLUSIONS: Patients presented early. This procedure may successfully relieve chordee except in peno-scrotal cases. Fistula is a common complication. Early fistula repair may improve outcome. One fourth of the children had a poor cosmetic result. It was not a major concern for parents.