keyword
MENU ▼
Read by QxMD icon Read
search

urethral stenosis in children

keyword
https://www.readbyqxmd.com/read/27933278/a-simple-method-for-closure-of-urethrocutaneous-fistula-after-tubularized-incised-plate-repair-preliminary-results
#1
Mehdi Shirazi, Ali Ariafar, Amir Hossein Babaei, Abdosamad Ashrafzadeh, Ali Adib
BACKGROUND: Urethrocutaneous fistula (UCF) is the most prevalent complication after hypospadias repair surgery. Many methods have been developed for UCF correction, and the best technique for UCF repair is determined based on the size, location, and number of fistulas, as well as the status of the surrounding skin. OBJECTIVES: In this study, we introduced and evaluated a simple method for UCF correction after tubularized incised plate (TIP) repair. METHODS: This clinical study was conducted on children with UCFs ≤ 4 mm that developed after TIP surgery for hypospadias repair...
November 2016: Nephro-urology Monthly
https://www.readbyqxmd.com/read/27707652/bladder-continent-catheterizable-conduit-the-mitrofanoff-procedure-long-term-issues-that-should-not-be-underestimated
#2
Alice Faure, Rebecca Cooksey, Aurore Bouty, Alan Woodward, John Hutson, Mike O'Brien, Yves Heloury
BACKGROUND: Effective bladder emptying by clean intermittent catheterization for children with severe bladder dysfunction is critical for renal preservation and social integration. Use of a continent catheterizable conduit (CCC) as urethral alternative procedure provides effective bladder drainage. However, it brings a substantive maintenance. METHODS: Retrospective review of the indications and long-term outcomes of 54 patients with a Mitrofanoff procedure in a single center over a 20-year period (1995-2015)...
September 23, 2016: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/27695207/scrotal-abscess-varied-etiology-associations-and-management
#3
Raghu S Ramareddy, Anand Alladi
AIM: To report a series of scrotal abscess, a rare problem, their etiology, and management. MATERIALS AND METHODS: A retrospective study of children who presented with scrotal abscess between January 2010 and March 2015, analyzed with respect to clinical features, pathophysiology of spread and management. RESULTS: Eight infants and a 3-year-old phenotypically male child presented with scrotal abscess as a result of abdominal pathologies which included mixed gonadal dysgenesis (MGD) [1]; three anorectal malformations with ectopic ureter [1], urethral stricture [1], and neurogenic bladder [1]; meconium peritonitis with meconium periorchitis [2], ileal atresia [1], and intra-abdominal abscess [1]; posturethroplasty for Y urethral duplication with metal stenosis [1] and idiopathic pyocele [1]...
October 2016: Journal of Indian Association of Pediatric Surgeons
https://www.readbyqxmd.com/read/27623810/a-novel-technique-for-repair-of-mid-penile-hypospadias-using-a-preputial-skin-flap-results-of-110-patients
#4
Hazem Elmoghazy, Mohamed M Hussein, Elnisr Mohamed, Abdelbasset Badawy, Gamal Alsagheer, Ahmed Mamdouh Abd Elhamed
BACKGROUND: Several techniques have been used to repair mid-penile hypospadias; however, high failure rates and major complications have been reported. In this study, we describe a novel technique using a well-vascularized flap of the inner and outer preputial skin. METHODS: A total of 110 male children with hypospadias underwent repair by our technique between 2008 and 2015. The inclusion criteria were children with mid-penile or slightly more proximal hypospadias, with or without ventral chordae, and an intact prepuce of the cobra eyes variety...
September 13, 2016: International Urology and Nephrology
https://www.readbyqxmd.com/read/27317623/results-of-distal-hypospadias-repair-after-pediatric-urology-fellowship-training-a-comparison-of-junior-surgeons-with-their-mentor
#5
N C Bush, T D Barber, D Dajusta, J C Prieto, A Ziada, W Snodgrass
BACKGROUND: Teaching and learning hypospadias repair is a major component of pediatric urology fellowship training. Educators must transfer skills to fellows, without increasing patient complications. Nevertheless, few studies report results of surgeons during their first years of independent practice. PURPOSE: To review outcomes of distal hypospadias repairs performed during the same 2-year period by consecutive, recently matriculated, surgeons in independent practice, and to compare them to results by their mentor (with >20 years of experience)...
June 2016: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/27259652/the-effect-of-staged-transverse-preputial-island-flap-urethroplasty-for-proximal-hypospadias-with-severe-chordee
#6
Chao Chen, Ti-Quan Yang, Jia-Bo Chen, Ning Sun, Wei-Ping Zhang
PURPOSE: To compare the effects of staged tranverse preputial island flap(TPIF) urethroplasty and Byars two-stage procedure for proximal hypospadias with severe chordee. MATERIALS AND METHODS: A total of 87 consecutive children of proximal hypospadias with severe chordee were included in the study from March 2011 to March 2014. While 42 children were repaired with stged TPIF (group 1), 45 children were treated with two-stage Byars urethroplasty (group 2). Mean age at first stage surgery were 26...
May 31, 2016: Journal of Urology
https://www.readbyqxmd.com/read/27020542/two-stage-graft-urethroplasty-for-proximal-and-complicated-hypospadias-in-children-a-retrospective-study
#7
Alice Faure, Aurore Bouty, Yoke Lin Nyo, Mike O'Brien, Yves Heloury
INTRODUCTION: Although two-stage graft urethroplasty is widely used, the literature regarding the complication rates and functional characteristics of reconstructed neourethra is relatively modest. OBJECTIVES: The aim was to analyze the complication rates and uroflow data of boys who have previously undergone a two-stage graft urethroplasty procedure for proximal and complicated hypospadias. PATIENTS AND METHODS: We retrospectively reviewed the clinical outcomes of 52 boys with proximal (n = 44) and complicated (n = 8) hypospadias who underwent two-stage graft urethroplasty repair (median age of 15 months and 3 years respectively) between 2004 and 2015...
March 15, 2016: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/26778183/comparison-of-variables-affecting-the-surgical-outcomes-of-tubularized-incised-plate-urethroplasty-in-adult-and-pediatric-hypospadias
#8
A Bhat, M Bhat, V Kumar, R Kumar, R Mittal, G Saksena
INTRODUCTION: The American Academy of Pediatrics recommends operating on hypospadias between the ages of 6-12 months. Since most births in developed countries are conducted in a hospital, parents are likely to be well informed and counseled about the hypospadias. However, significant numbers of births in developing countries are still conducted at home, with illiteracy, poverty and ignorance often leading to late presentation at the hospital. Reported hypospadias-repair complication rates are higher in adults compared with those having surgery in childhood...
April 2016: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/26729995/modified-tubularized-incised-plate-urethroplasty-repair-frenuloplasty-and-long-term-results-in-155-patients
#9
Süleyman Cüneyt Karakuş, Naim Koku
To describe a modification of tubularized incised plate (TIP) urethroplasty which we refer to as "frenuloplasty". We retrospectively reviewed 155 children who underwent TIP urethroplasty between June 2008 and August 2011 in our institution. In our technique, the circumcision incision went on through the mucocutaneous junction obliquely in order to form frenular wings instead of linear circumscribing incision joined the urethral plate vertically. The little triangle-shaped skin flaps between the oblique mucocutaneous incisions and urethral plate incisions were excised...
December 2015: Indian Journal of Surgery
https://www.readbyqxmd.com/read/26558078/single-vs-multi-stage-repair-of-proximal-hypospadias-the-dilemma-continues
#10
REVIEW
Haytham Badawy, Ahmed Fahmy
INTRODUCTION: The surgical reconstruction of distal penile hypospadias in a single stage is the standard practice for managing anterior hypospadias. Unfortunately, it is not simple to extrapolate the same principle to proximal hypospadias. There is no consensus among hypospadiologists about whether a single- or multi-stage operation is the optimal treatment for proximal hypospadias. In this review, we assess the currently reported outcomes and complications of both techniques in proximal hypospadias repair...
June 2013: Arab Journal of Urology
https://www.readbyqxmd.com/read/26143408/end-stage-renal-disease-and-kidney-transplant-in-patients-with-anorectal-malformation-is-there-an-alternative-route
#11
Andrea Bischoff, William DeFoor, Brian VanderBrink, Jens Goebel, Jennifer Hall, Maria Alonso, Pramod Reddy, Alberto Peña
BACKGROUND/PURPOSE: Mortality from end stage renal disease (ESRD) in patients with anorectal malformation (ARM) is reported to be between 2.5 and 6%. The risk differs depending on the type of ARM (6.4% "high" vs. 1.1% "low"). The purpose of this study was to review the characteristics of the ARM patients who received a kidney transplant (KT) to potentially identify if any modifiable factors existed that may have prevented ESRD. METHODS: The Colorectal Center and the kidney transplant databases at Cincinnati Children's Hospital were queried to identify patients with ARM and a KT...
August 2015: Pediatric Surgery International
https://www.readbyqxmd.com/read/26112258/late-diagnosis-of-posterior-urethral-valves
#12
M Zornoza, J M Angulo, A Parente, S Simal, L Burgos, R Ortiz
CLINICAL PROBLEM: We diagnosed 8 patients with late-stage posterior urethral valves (PUV) between 1 and 14 years of age. Five patients complained of symptoms related to voiding dysfunction. The other 3 patients required urethrocystoscopy for other reasons (hypospadias fistulae, difficulty with catheterisation and high-grade vesicoureteral reflux [VUR]). A second review of the first 2 patients' medical history showed voiding dysfunction symptoms. All patients underwent preoperative ultrasonography: 3 patients had normal results and 5 had renal or vesical disorders...
December 2015: Actas Urologicas Españolas
https://www.readbyqxmd.com/read/26019935/distal-extension-of-the-midline-urethral-plate-incision-in-the-snodgrass-hypospadias-repair-an-objective-assessment-of-the-functional-and-cosmetic-outcomes
#13
Ahmed M Al-Adl, Tarek M El-Karamany, Ayman S Bassiouny
OBJECTIVES: To objectively assess the functional and cosmetic outcomes of a modified tubularised incised-plate (TIP) urethroplasty (Snodgrass) technique, with particular attention to the uroflowmetry study and Hypospadias Objective Scoring Evaluation (HOSE) score. PATIENTS AND METHODS: In a prospective case-series study, 43 consecutive patients with primary distal hypospadias were evaluated. The modified Snodgrass technique included an extension of the midline relaxing incision of the urethral plate from within the hypospadiac meatus to the very tip of the glans...
June 2014: Arab Journal of Urology
https://www.readbyqxmd.com/read/25895298/-application-of-modified-koyanagi-technique-with-coverage-by-tunica-vaginalis-of-testis-in-severe-hypospadias
#14
Wenyong Xue, Jinchun Qi, Caiyun Yang, Qiang Gao, Junxiao Chen, Xiaoqian Su, Lei Du, Shuwen Yang, Chanebao Qu
OBJECTIVE: To investigate the clinical effect of modified Koyanagi technique with coverage by tunica vaginalis of testis in severe hypospadias. METHODS: 49 cases with severe hypospadias treated from Jan. 2009 to Sep. 2011 were retrospectively studied. 25 patients underwent Koyanagi technique with coverage by tunica vaginalis of testis. 24 cases underwent one-stage Duplay + Duckett technique in the same term. The patients were followed up for 7-24 months. RESULTS: Among the 25 children treated with Koyanagi procedure, 20 cases were cured, 5 patients had postoperative complications, including urethral fistula in 3 cases,urethral stenosis in 2 cases...
November 2014: Zhonghua Zheng Xing Wai Ke za Zhi, Zhonghua Zhengxing Waike Zazhi, Chinese Journal of Plastic Surgery
https://www.readbyqxmd.com/read/25894960/effects-of-oral-testosterone-undecanoate-treatment-for-severe-hypospadias
#15
RANDOMIZED CONTROLLED TRIAL
Chao Chen, Chun-Xiu Gong, Wei-Ping Zhang
PURPOSE: We sought to evaluate the effects of oral testosterone undecanoate treatment based on the temporary growth of penis and the complications of surgery in children with microphallic hypospadias. MATERIALS AND METHODS: A total of 72 randomized consecutive children with microphallic hypospadias were included in the study from March 2011 to September 2013. While 34 children were treated with oral testosterone undecanoate treatment prior to surgery on time (group 1), 36 children did not receive any treatment preoperatively (group 2)...
June 2015: International Urology and Nephrology
https://www.readbyqxmd.com/read/25837705/the-effect-of-parenteral-testosterone-administration-prior-to-hypospadias-surgery-a-prospective-randomized-and-controlled-study
#16
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/25826896/-one-stage-nonstented-tubularized-incised-plate-urethroplasty-for-pain-and-complication-after-hypospadias-repair
#17
COMPARATIVE STUDY
Xiaodong Li, Ning Xu, Xueyi Xue, Yong Wei, Qingshui Zheng, Xionglin Sun, Hai Cai, Tao Jiang
OBJECTIVE: To comparatively analyze the effect of one-stage nonstented tubularized incised plate urethroplasty (TIP) on operative pain and complication by comparing with urethral catheter and urethral stent drainages. METHODS: Between March 2010 and June 2013, 214 cases of distal and mid-shaft hypospadias underwent TIP, and the clinical data were analyzed retrospectively. The patients were divided into 3 groups based on different urinary drainage techniques: indwelling urethral catheter was used in 68 cases (group A), indwelling urethral stent in 70 cases (group B), and nonstented drainage in 76 cases (group C)...
December 2014: Chinese Journal of Reparative and Reconstructive Surgery
https://www.readbyqxmd.com/read/25797855/further-analysis-of-the-glans-urethral-meatus-shaft-gms-hypospadias-score-correlation-with-postoperative-complications
#18
Angela M Arlen, Andrew J Kirsch, Traci Leong, Bruce H Broecker, Edwin A Smith, James M Elmore
INTRODUCTION AND OBJECTIVE: The Glans-Urethral Meatus-Shaft (GMS) score is a concise and reproducible way to describe hypospadias severity. We classified boys undergoing primary hypospadias repair to determine the correlation between GMS score and postoperative complications. STUDY DESIGN: Between February 2011 and August 2013, patients undergoing primary hypospadias repair were prospectively scored using the GMS classification. GMS scoring included a 1-4 scale for each component: G - glans size/urethral plate quality, M - meatal location, and S - degree of shaft curvature, with more unfavorable characteristics assigned higher scores [Figure]...
April 2015: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/25703201/meatal-stenosis-a-retrospective-analysis-of-over-4000-patients
#19
Shelley P Godley, Renea M Sturm, Blythe Durbin-Johnson, Eric A Kurzrock
OBJECTIVE: The literature on treatment of meatal stenosis is limited to single center series. Controversy exists regarding choice of meatotomy versus meatoplasty and need for general anesthesia. Our objective was to analyze treatment efficacy, current practice patterns and utilization of anesthesia. We hypothesized that meatoplasty would be associated with a lower re-operative rate. STUDY DESIGN: We used a hospital consortium database to identify children who were diagnosed with meatal stenosis between January 1, 2009 and December 31, 2012...
February 2015: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/25701546/complications-following-staged-hypospadias-repair-using-transposed-preputial-skin-flaps
#20
Irina Stanasel, Hoang-Kim Le, Aylin Bilgutay, David R Roth, Edmond T Gonzales, Nicolette Janzen, Chester J Koh, Patricio Gargollo, Abhishek Seth
PURPOSE: Proximal hypospadias repair using a staged approach is a complex reconstructive operation with the potential for significant complications requiring repeat surgery. We report outcomes of staged hypospadias repair using transposed preputial skin flaps and factors predictive of postoperative complications. MATERIALS AND METHODS: We retrospectively analyzed patients who underwent staged proximal hypospadias repair using transposed preputial skin flaps between 2002 and 2013...
August 2015: Journal of Urology
keyword
keyword
106329
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"