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01-04-2012 | Original Article

Outcome of hypospadias repair in toilet-trained children and adolescents

Authors: Stanislav Kocherov, Dan Prat, Dmitry Koulikov, Alexander Ioscovich, Ofer Z. Shenfeld, Amicur Farkas, Boris Chertin

Published in: Pediatric Surgery International | Issue 4/2012

Abstract

Purpose

To review a leading causes and surgical outcome of hypospadias repair in toilet-trained children and adolescents in our department.

Materials and methods

Over the period from 1987 to 2010, 84 toilet-trained children and adolescents with a median age of 13 years (range 4–18) underwent hypospadias repair. Voiding symptoms were a cause for referral in 31(36%) patients, difficulties in self-appraisal or patient desire in 49(55.7%) and 4(4.8%) patients with DSD underwent male genitoplasty as a part of sex reassignment. Of those 43(51.2%) had glanular hypospadias, 36(42.9%) distal and 5(5.9%) had proximal type of hypospadias. Meatoplasty was performed in 18(21.4%) patients, MAGPI in 24(28.6%), Mathieu flip-flap in 20(23.8%), preputial pedicled flap as onlay in 2(2.4%) and as tubularized in 2(2.4%) patients, and TIP procedure was done in 16(19%). Two (2.4%) patients required two stage repair.

Results

Twenty-three (27.4%) developed surgery-related complications such as meatal stenosis in 3(15.5%), breakdown of primary repair in 7(8.3%), and urethral fistula in 13(15.5%) patients, respectively.

Conclusions

There are clear differences in terms of complications rate and overall success compared with the repair in the earlier ages.

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Title: Outcome of hypospadias repair in toilet-trained children and adolescents
Authors: Stanislav Kocherov
Dan Prat
Dmitry Koulikov
Alexander Ioscovich
Ofer Z. Shenfeld
Amicur Farkas
Boris Chertin
Publication date: 01-04-2012
Publisher: Springer-Verlag
Published in: Pediatric Surgery International / Issue 4/2012
Print ISSN: 0179-0358
Electronic ISSN: 1437-9813
DOI: https://doi.org/10.1007/s00383-012-3061-2

At a glance: The STEP trials

Springer Medicine

Outcome of hypospadias repair in toilet-trained children and adolescents

Abstract

Purpose

Materials and methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose

Materials and methods

Results

Conclusions

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