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pediatric penile reconstruction

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https://www.readbyqxmd.com/read/27846665/menstrual-sexual-and-obstetrical-outcomes-after-vaginal-replacement-for-vaginal-atresia-associated-with-anorectal-malformation
#1
Clare Skerritt, Alejandra Vilanova Sánchez, Victoria Alison Lane, Richard J Wood, Geri D Hewitt, Lesley L Breech, Marc Levitt
The authors of this article became aware of significant differences in the management of two females with a rectovestibular fistula and associated vaginal agenesis. In one patient, a sigmoid colovaginoplasty was performed at the time of the posterior sagittal anorectoplasty (PSARP), and the other underwent repair of the rectovestibular fistula with a primary PSARP, but the surgeons elected to delay the timing of vaginal reconstruction. We decided to review the literature, to establish if recommendations could be made to optimize the management of these children based on current evidence...
November 15, 2016: European Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/27155806/pediatric-penile-reconstruction-using-autologous-split-thickness-skin-graft
#2
E C Diaz, J F Corcoran, E K Johnson
This video provides a case report of penis entrapment secondary to excessive skin removal during circumcision. It highlights the technical aspects of pediatric penile reconstruction using autologous split-thickness skin graft (STSG). Key points include: 1. Infection prevention is paramount and antibiotic prophylaxis is routine. 2. The usual harvest site for the STSG is the lateral thigh because of its source of glabrous skin and convenient proximity to the penis. The lateral thigh is also outside of the diapered area, which helps lessen postoperative pain and infectious risks...
June 2016: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/26901826/fenestrated-sheet-split-thickness-skin-grafting-for-reconstruction-of-penile-skin-loss-in-pediatric-population
#3
Boris Chertin, Stanislav Kocherov, Rami Binenboym, Yoav Gronovich, Izhak Tuchman, Leonid Chertin, Laurence Baskin
OBJECTIVES: We aimed to evaluate our experience with fenestrated sheet split-thickness skin grafts (STSGs) in the pediatric population. MATERIALS AND METHODS: We retrospectively studied a cohort of 17 children 2-18years old who underwent skin grafting owing to circumcision injuries (2 patients), traumatic penile injury (1) and after previous multiple hypospadias surgery (14). Fenestrated 0.012in sheet STSGs from thigh area (15 patients) and buttock area (2) were fashioned to resurface the denuded penis following reconstruction...
August 2016: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/25837705/the-effect-of-parenteral-testosterone-administration-prior-to-hypospadias-surgery-a-prospective-randomized-and-controlled-study
#4
RANDOMIZED CONTROLLED TRIAL
S A Asgari, M R Safarinejad, F Poorreza, A Safaei Asl, M Mansour Ghanaie, E Shahab
INTRODUCTION: The goal of hypospadias surgery is to provide a functionally and cosmetically normal penis. Whether this goal will be to the patient's satisfaction depends largely on the original anatomy, surgical technique and surgeon's experience. It has been suggested that androgen administration is associated with better outcomes in hypospadias repair; however, few studies have included control groups and the issue is still controversial. PURPOSE: To evaluate the effects of parenteral testosterone administration on the results of hypospadias repair in children with untreated hypospadias...
June 2015: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/23981679/utility-of-tissue-expansion-in-pediatric-phallic-reconstruction-a-10-year-experience
#5
D H Rochlin, K Zhang, J P Gearhart, A Rad, A Kelamis, R Mathews, R J Redett
OBJECTIVE: Boys with complex penile anomalies often undergo multiple operations, leaving a paucity of unscarred skin for further reconstructive procedures. Our objective was to evaluate the ability of tissue expansion to provide local skin for successful phallic reconstruction. MATERIALS AND METHODS: Eighty boys (mean age of 11.9 years) with hypospadias (n = 42) or epispadias (n = 38) formed the study cohort. All patients had undergone at least one failed reconstructive operation...
February 2014: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/22981384/the-foreskin-advancement-flap-an-alternative-technique-for-reconstruction-of-penile-burns
#6
Arash Momeni, Jennifer M Abidari, Yvonne L Karanas
Penile burns are devastating injuries and are frequently associated with significant functional and psychological sequelae. The goals of penile reconstruction after burn injury include: 1) skin coverage, 2) preservation of penile length, sensation and erectile function, 3) esthetic integrity, and 4) permissive for penile growth in the pediatric patient. A multitude of different techniques have been proposed, including skin grafts, local, regional, and free flaps, each of which fail to address all goals of reconstruction...
April 2013: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/22024420/long-term-follow-up-18-35-years-of-male-patients-with-history-of-bladder-exstrophy-be-repair-in-childhood-erectile-function-and-fertility-potential-outcome
#7
Hosni Khairy Salem, Mohammed Eisa
INTRODUCTION: Bladder exstrophy is a rare condition that may lead to severe psychosexual malformation and require a lifelong follow-up. AIM: We describe the long-term sexual outcome of patients with bladder exstrophy treated at our institution at early stage. METHODS: Thirty patients with mean age of 26 years (range 18-35 years) were included in the study. Fifteen patients underwent staged primary reconstruction, five patients underwent complete primary repair, and 10 patients underwent primary or secondary ureterosigmoidostomy...
May 2012: Journal of Sexual Medicine
https://www.readbyqxmd.com/read/21935592/multicentric-experience-on-double-dartos-flap-protection-in-tubularized-incised-plate-urethroplasty-for-distal-and-midpenile-hypospadias
#8
MULTICENTER STUDY
M Bertozzi, A Yıldız, B Kamal, M Mustafa, M Prestipino, M Yiğiter, H Al-Darawany, A Oral, N Nardi, A Appignani
PURPOSE: We report a multicenter experience using double dartos flap to protect the neourethra in TIP urethroplasty for distal and midpenile hypospadias. METHODS: A total of 394 patients underwent tubularized incised plate urethroplasty for primary distal and midpenile hypospadias using double dartos flap protection by ten pediatric surgeons and urologists at five different institutions. RESULTS: Tubularized incised plate urethroplasty protected by a double dartos flap was simple to perform and flaps were easy to obtain...
December 2011: Pediatric Surgery International
https://www.readbyqxmd.com/read/21789077/a-novel-operative-technique-for-concealed-penis-secondary-to-penoscrotal-web-a-case-report
#9
Atilla Senaylı, Yeşim Senaylı
Contemporary surgical techniques for concealed penis defined in the literature are sophisticated and, because of this, we decided to perform a simple technique. A child with penoscrotal web was admitted to our Pediatric Surgery Clinic. The patient had recurrent urinary tract infections without urinary tract disease and, therefore, web reconstruction was thought to be useful. A modified unfurling technique and penoscrotal angle reconstruction was used. The main characteristic of our procedure can basically be described as an oblique incision of the outer foreskin leaf which guides the next steps...
October 2010: Therapeutic Advances in Urology
https://www.readbyqxmd.com/read/21529903/what-can-we-learn-from-pediatric-urology-certification-logs
#10
Barry A Kogan, Paul J Feustel
OBJECTIVES: To use the billing logs submitted to obtain insight into the operative practice of pediatric urology. The American Board of Urology recently offered a certificate of special qualification in pediatric urology. As a part of the application process, the candidates for this certificate submitted billing logs. METHODS: We reviewed the practice logs of practitioners applying for a certificate of added competence in pediatric urology in 2007 and 2008. The de-identified logs were grouped by case severity and type...
July 2011: Urology
https://www.readbyqxmd.com/read/21445547/foreskin-reconstruction-and-preservation-of-a-thin-distal-urethra-a-challenge-in-tubularized-incised-plate-urethroplasty
#11
COMPARATIVE STUDY
Gunter Fasching, Christoph Arneitz, Gabriele Gritsch-Olipp
PURPOSE: The aim of this retrospective study was to evaluate the functional and cosmetic outcome of tubularized incised plate urethroplasty (TIPU) with preputial reconstruction and preservation of a thin distal urethra when applicable. METHODS: The records of 64 boys with hypospadias, who underwent TIPU between 2000 and 2007 were analyzed. 33 (52%) underwent foreskin reconstruction and a thin distal urethra was preserved and incorporated in 19 (30%) patients. The Hypospadias Objective Scoring Evaluation (HOSE), Pediatric Penile Perception Score (PPPS), and uroflowmetry were evaluated in 55 boys (86%) after a mean of 4...
July 2011: Pediatric Surgery International
https://www.readbyqxmd.com/read/21034958/traumatic-hemipelvectomy-in-children-report-on-2-survivors-with-urological-involvement
#12
Wenceslao M Calonge, Ilona Alova, Manuel R Ramos, Leopoldo Martínez, Stéphan Lortat-Jacob, Antonio Ochoa de Castro, Henri Lottmann
Traumatic hemipelvectomy through the sacroiliac joint is a devastating injury, mainly because of motor vehicle accidents. Recent improvements in prehospital trauma care have increased the chances of survival for victims. Besides amputation of the lower limb, associated complications usually involve digestive and urological systems. We report on 2 pediatric patients from 2 different European countries. PATIENT 1: A 9-year-old boy suffered uprooting of his left lower limb, laceration of the rectum and anal sphincter, as well as an injury to distal urethra with partial loss of cavernous bodies...
November 2010: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/20970838/single-institution-outcomes-of-open-reconstruction-techniques-for-management-of-pediatric-and-adolescent-post-traumatic-urethral-strictures
#13
Melih Sunay, Ayhan Karabulut, Mümtaz Dadalı, Sahin Bağbancı, Levent Emir, Demokan Erol
OBJECTIVES: To assess the long-term results and efficiency of open reconstruction techniques for pediatric and adolescent post-traumatic urethral strictures. METHODS: A total of 75 patients who had undergone open reconstructive urethroplasty for post-traumatic bulbous or posterior urethral obliterative strictures resulting from pelvic fracture urethral injuries were retrospectively analyzed. The mean patient age was 12.3 years (range 6-17). Of the 75 patients, 38 had a bulbar stricture and 37 had posterior urethral obliteration...
March 2011: Urology
https://www.readbyqxmd.com/read/20920736/vaginal-replacement-in-the-pediatric-age-group-a-34-year-experience-of-intestinal-vaginoplasty-in-children-and-young-girls
#14
REVIEW
Mario Lima, Giovanni Ruggeri, Beatrice Randi, Marcello Dòmini, Tommaso Gargano, Enrico La Pergola, Giulio Gregori
BACKGROUND/PURPOSE: The absence of vagina is rare in the pediatric population. It can occur as a result of congenital malformations such as an aplasia of mullerian ducts (46,XX Mayer-Rokitansky-Küster-Hauser syndrome) or a complete androgen insensitivity syndrome (46,XY testicular feminizing syndrome). Intersex patients, who underwent reassessment of a female sex, need a genital reconstruction toward a feminine phenotype. Patients with congenital adrenogenital syndrome with high urogenital sinus could have a severe hypoplastic vagina...
October 2010: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/19935302/management-of-buried-penis-in-adulthood-an-overview
#15
REVIEW
Ivo A Pestana, Jason M Greenfield, Mark Walsh, Craig F Donatucci, Detlev Erdmann
BACKGROUND: The condition of "buried" penis may arise from several factors. Although the pediatric form is a rare congenital disorder, it may become an acquired condition in adulthood, most commonly from obesity, radical circumcision, or penoscrotal lymphedema. As obesity has become a national epidemic, the incidence of this phenomenon will inevitably increase. The purpose of this article is to present current strategies in the management of this physically and psychologically debilitating condition...
October 2009: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/19180002/genitourinary-emergencies-in-children
#16
E Minevich
The aim of this paper was to to provide the primary care practitioner with a review of genitourinary conditions in children requiring emergent urological referral. These conditions include the acute scrotum/testicular torsion, scrotal masses, penile abnormalities, urinary retention and bladder outlet obstruction, abdominal masses, acute urinary stones, urinary trauma, genital abnormalities, complex anomalies and acute abdomen in patients with previous continent reconstruction. The authors discussed the presenting signs and symptoms, proper initial diagnostic work-up and the usual therapeutic course of management after evaluation by the pediatric urologist...
February 2009: Minerva Pediatrica
https://www.readbyqxmd.com/read/19091342/staged-reconstruction-of-long-segment-urethral-strictures-in-men-with-previous-pediatric-hypospadias-repair
#17
Joshua J Meeks, Bradley A Erickson, Chris M Gonzalez
PURPOSE: Reconstruction of long segment urethral stricture disease in adults with a history of pediatric hypospadias repair remains complex secondary to poor urethral blood supply, extensive penile scarring and the need for significant amounts of graft or flap tissue. We describe our experience with staged urethroplasty in this cohort of men. MATERIALS AND METHODS: A total of 15 males underwent staged urethroplasty for urethral stricture disease following previous hypospadias repair in childhood...
February 2009: Journal of Urology
https://www.readbyqxmd.com/read/19013413/one-stage-repair-of-severe-hypospadias-using-modified-tubularized-transverse-preputial-island-flap-with-v-incision-suture
#18
Katsuya Aoki, Kiyohide Fujimoto, Katsunori Yoshida, Yoshihiko Hirao, Katsuhiko Ueoka
PURPOSE: Although hypospadias repair for preserving the urethral plate is popular among pediatric urologists, applying this procedure to severe hypospadias is controversial. We report the outcome of applying additional modifications to the modified tubularized transverse preputial island flap (TPIF) procedure reported previously [Patel RP, Shukla AR, Austin JC and Canning DA. Modified tubularized transverse preputial island flap repair for severe proximal hypospadias. BJU Int 2005;95:901-4] for repairing severe hypospadias...
December 2008: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/18790414/pediatric-and-adolescent-transperineal-anastomotic-urethroplasty
#19
M G El-Sheikh, A M Ziada, S Z Sadek, I Shoukry
PURPOSE: Pediatric urethral stricture disease represents a significant surgical challenge because of smaller pelvic confines, decreased caliber and increased tissue fragility. Operative series of pediatric urethral reconstruction usually involve small numbers. In this study, we examined the outcome of open reconstructive techniques for pediatric and adolescent patients with posterior urethral distraction injuries. PATIENTS AND METHODS: Between February 2002 and September 2005, 15 patients from Kasr ElAini hospital presenting with posterior urethral distraction defects due to motor vehicle accidents were included in our study...
October 2008: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/17144447/-correction-of-pediatric-concealed-penis-by-using-a-modified-devine-s-technique
#20
Chang-bao Qu, Wen-yong Xue, Xiao-lu Wang, Feng-xiang Zhang, Chun-sheng Kang
OBJECTIVE: To discuss the diagnosis of pediatric concealed penis and evaluate the results after the correction of the pediatric concealed penis. METHODS: Twenty patients with pediatric concealed penis were treated by using a modified Devine's technique. RESULTS: The appearance with a straightening penile was achieved in all of the patients. All of the patients recovered well after the operation without any complications. CONCLUSIONS: The modified Devine' s technique could be a safe and effective method for the correction of the pediatric concealed penis with satisfactory outcome...
September 2006: Zhonghua Zheng Xing Wai Ke za Zhi, Zhonghua Zhengxing Waike Zazhi, Chinese Journal of Plastic Surgery
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