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Proximal hypospadias

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https://www.readbyqxmd.com/read/28087231/psychosocial-outcome-in-adult-men-born-with-hypospadias
#1
L Örtqvist, M Andersson, A Strandqvist, A Nordenström, L Frisén, G Holmdahl, A Nordenskjöld
INTRODUCTION: Hypospadias, which is a surgically treated congenital malformation of the male urethra, may have a negative impact on quality of life. This aspect has previously been subject to limited research. This study examined the long-term psychosocial outcome of a large cohort of adult males born with hypospadias. OBJECTIVE: The purpose of this case-control study was to assess a possible negative influence on the psychosocial outcome in adult males with hypospadias...
September 9, 2016: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/28081317/hormone-therapy-in-hypospadias-surgery-a-survey-on-the-current-practice-in-turkey
#2
Gülnur Göllü Bahadır, Ergun Ergün, Onur Telli, Farid Khanmammadov, Ahmet Murat Çakmak
BACKGROUND/AIM: Nowadays surgical intervention is possible in smaller phalluses and younger children with hypospadias disease. Different hormone treatments with different doses, modalities, indications, and treatment times come along with some disputes. The aim of this study is to evaluate the management approaches in hypospadias surgery of surgeons in regards to hormone preparations. MATERIALS AND METHODS: Questionnaires were sent via e-mail to 110 actively working pediatric surgeons and urologists...
December 20, 2016: Turkish Journal of Medical Sciences
https://www.readbyqxmd.com/read/28057982/primary-hypospadias-repair-techniques-a-review-of-the-evidence
#3
REVIEW
Warren Snodgrass, Nicol Bush
This review summarizes data regarding commonly used surgical techniques to repair distal and proximal hypospadias. We review evidence concerning indications for various procedures used in primary hypospadias repair, and their complications, urinary function and esthetic results. Available evidence suggests TIP is preferable to Mathieu for distal hypospadias correction. Current data do not identify a clear preference between TIP and onlay flap for proximal repair when there is ventral curvature <30°, or between various flap and graft options when curvature is >31°...
October 2016: Urology Annals
https://www.readbyqxmd.com/read/28051050/our-experience-of-proximal-hypospadias-repair-using-the-cloutier-bracka-technique-at-the-gynaeco-obstetric-and-paediatric-hospital-yaounde-cameroon
#4
Mouafo Tambo Faustin Felicien, A S Nwaha Makon, C Kamadjou, G Fossi, C Le Coultre, O G Andze, M A Sosso, P Y Mure
BACKGROUND: In parts of Africa, routine circumcision is practised and sometimes even on children with hypospadias. The lack of preputial foreskin renders urethroplasty more difficult and often requires to use of a mucosal graft as described by Bracka. OBJECTIVE: The authors describe their experience of hypospadias repair using Bracka's technique. MATERIALS AND METHODS: Over a period of 5 years, 100 cases of proximal hypospadias were operated in our institution...
October 2016: African Journal of Paediatric Surgery: AJPS
https://www.readbyqxmd.com/read/28043766/re-operative-urethroplasty-after-failed-hypospadias-repair-how-prior-surgery-impacts-risk-for-additional-complications
#5
W Snodgrass, N C Bush
PURPOSE: The primary aim of this report was to compare urethroplasty complications for primary distal and proximal repairs with those after 1, 2, 3, and 4 or more re-operations. METHODS: Prospectively collected data on consecutive hypospadias repairs (tubularized incised plate (TIP), inlay, two-stage graft) from 2000 to 2015 were reviewed. Isolated fistula closures were excluded. Extracted information included patient age, meatal location, repair type, primary vs...
December 7, 2016: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/28043016/flutamide-induced-hypospadias-in-rats-a-critical-assessment
#6
Adriane Watkins Sinclair, Mei Cao, Andrew Pask, Laurence Baskin, Gerald R Cunha
This paper provides the first detailed description of flutamide-induced hypospadias in the rat based upon wholemount, histologic, three-dimensional reconstruction, scanning electron microscopic, and immunocytochemical analysis. The penile malformations elicited by this potent anti-androgen include a substantial proximal shift in the urethral meatus that clearly conforms to the definition of hypospadias based upon specific morphological criteria for this malformation. Through examination of the normal penile development and flutamide-induced abnormal penile development observed in prenatally oil- and flutamide-treated rats, our analysis provides insights into the morphogenetic mechanism of development of hypospadias...
December 30, 2016: Differentiation; Research in Biological Diversity
https://www.readbyqxmd.com/read/27992969/sexuality-and-fertility-in-men-with-hypospadias-improved-outcome
#7
L Örtqvist, M Fossum, M Andersson, A Nordenström, L Frisén, G Holmdahl, A Nordenskjöld
The aim of this study was to investigate sexual function and fertility in adult men born with hypospadias. Patients born with hypospadias, age-matched controls, and a group of circumcised men completed a questionnaire constructed to reflect their psychosexual situation and fertility. Core gender identity, sexual orientation, and gender role behavior was also assessed. 167 patients [63% distal, 24% mid shaft and 13% proximal, mean age 34 (19-54) years], 169 controls from the general population [mean age 33 (19-48) years] and 47 controls circumcised because of phimosis (mean age 26 [19-44]) participated and completed the questionnaire...
December 19, 2016: Andrology
https://www.readbyqxmd.com/read/27887915/voiding-patterns-of-adult-patients-who-underwent-hypospadias-repair-in-childhood
#8
Jawdat Jaber, Stanislav Kocherov, Leonid Chertin, Amicur Farkas, Boris Chertin
OBJECTIVE: This study aimed at evaluating the voiding patterns of adult patients who underwent hypospadias repair in childhood. METHOD: Following IRB approval 103 (22.7%) of 449 adult patients who underwent hypospadias repair between 1978 and 1993 responded to the following questionnaires: International Prostate Symptom Score (I-PSS) and Short Form 12 questionnaire (SF-12). Uroflowmetry (UF) was performed for all patients. The patients were divided into three groups according to the primary meatus localization...
October 5, 2016: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/27847256/hypospadias-repair-with-the-glanular-frenular-collar-gfc-technique
#9
Hüseyin Özbey, Şeref Etker
BACKGROUND: In the normal human penis, the glans wings merge in the midline ventrally, but are separated by the 'septum glandis' in conjunction with the frenulum. The frenulum is also included in the formation of the distal (glanular and subcoronal) urethra, which has a special part known as the 'fossa navicularis'. This has inspired a hypospadias repair technique that simulates the development of the glanular and subcoronal urethra, which can be incorporated into the repair of all cases of hypospadias...
November 3, 2016: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/27802003/eclamc-study-prevalence-patterns-of-hypospadias-in-south-america-multi-national-analysis-over-a-24-year-period
#10
Nicolás Fernández, Jaime Pérez, Pedro Monterrey, Fernando A Poletta, Darius J Bägli, Armando J Lorenzo, Ignacio Zarante
OBJECTIVE: To evaluate prevalence trends of hypospadias in South-America it is es¬sential to perform multicenter and multinational studies with the same methodology. Herein we present systematic data as part of an international multicenter initiative evaluating congenital malformations in South America over a 24-year period. MATERIALS AND METHODS: A nested case-control study was conducted using the Latin American Collaborative Study of Congenital Malformations (ECLAMC), between Janu¬ary 1989 and December 2012...
November 2, 2016: International Braz J Urol: Official Journal of the Brazilian Society of Urology
https://www.readbyqxmd.com/read/27794432/cause-and-effect-versus-confounding-is-there-a-true-association-between-caudal-blocks-and-tubularized-incised-plate-repair-complications
#11
Luis H Braga, Kizanee Jegatheeswaran, Melissa McGrath, Bethany Easterbrook B Kin, Mandy Rickard, Jorge DeMaria, Armando J Lorenzo
INTRODUCTION: To study the impact of caudal block (CB) versus dorsal penile block (DPB) on the rate of urethrocutaneous fistula (UCF) and glans dehiscence (GD) in children who underwent hypospadias repair. METHODS: We conducted a retrospective review of consecutive patients who underwent tubularized incised plate repair between 2004-2015 (n=849). Incomplete medical records, other techniques and re-do cases were excluded(n=331). Preference for CB was based on anesthesiologist's discretion...
October 26, 2016: Journal of Urology
https://www.readbyqxmd.com/read/27746897/proximal-hypospadias-we-aren-t-always-keeping-our-promises
#12
Christopher J Long, Douglas A Canning
Hypospadias surgery is a humbling art form. The evolution of surgical techniques has made distal hypospadias outcomes favorable, but recent publications suggest that our complication rates for proximal hypospadias are much higher than previously reported. To explain these shortcomings, we examine the literature and focus on the lack of standardized documentation, the subsequent inability to objectify the severity of the phenotype, and the underestimation of complications due to lack of long-term follow up. The variability in surgical technique and the fact that the literature abounds with small case series from single institutions also limits our ability to compare outcomes...
2016: F1000Research
https://www.readbyqxmd.com/read/27623810/a-novel-technique-for-repair-of-mid-penile-hypospadias-using-a-preputial-skin-flap-results-of-110-patients
#13
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...
December 2016: International Urology and Nephrology
https://www.readbyqxmd.com/read/27597106/re-two-stage-repair-for-severe-proximal-hypospadias-using-oral-mucosal-grafts-combination-of-a-modified-bracka-method-and-a-modified-byars-flap-method
#14
Douglas A Canning
No abstract text is available yet for this article.
September 2016: Journal of Urology
https://www.readbyqxmd.com/read/27564292/craniofacial-anomalies-associated-with-hypospadias-description-of-a-hospital-based-population-in-south-america
#15
Nicolas Fernandez, Rebeca Escobar, Ignacio Zarante
INTRODUCTION: Hypospadias is a congenital abnormality of the penis, in which there is incomplete development of the distal urethra. There are numerous reports showing na increase of prevalence of hypospadias. Association of craniofacial malformations in patients diagnosed with hypospadias is rare. The aim of this study is to describe the association between hypospadias and craniofacial congenital anomalies. MATERIALS AND METHODS: A retrospective review of the Latin-American collaborative study of congenital malformations (ECLAMC) data was performed between January 1982 and December 2011...
July 2016: International Braz J Urol: Official Journal of the Brazilian Society of Urology
https://www.readbyqxmd.com/read/27555680/impact-of-changing-trends-in-technique-and-learning-curve-on-outcome-of-hypospadias-repair-an-experience-from-tertiary-care-center
#16
M S Ansari, Shikhar Agarwal, Sanjoy Kumar Sureka, Anil Mandhani, Rakesh Kapoor, Aneesh Srivastava
INTRODUCTION: Apart from numerous clinical factors, surgical experience and technique are important determinants of hypospadias repair outcome. This study was aimed to evaluate the learning curve of hypospadias repair and the impact of changing trends in surgical techniques on the success of primary hypospadias repair. MATERIALS AND METHODS: We retrospectively analyzed of data of 324 patients who underwent primary repair of hypospadias between January 1997 and December 2013 at our center...
July 2016: Indian Journal of Urology: IJU: Journal of the Urological Society of India
https://www.readbyqxmd.com/read/27545860/multivariate-analysis-of-the-factors-associated-with-sexual-intercourse-marriage-and-paternity-of-hypospadias-patients
#17
Akihiro Kanematsu, Yoshihide Higuchi, Shiro Tanaka, Takahiko Hashimoto, Michio Nojima, Shingo Yamamoto
INTRODUCTION: Patients with hypospadias are treated surgically during childhood, which has the intention of enabling a satisfactory sexual life in adulthood. However, it is unclear whether patients with corrected hypospadias can lead a satisfactory sexual life and sustain a marital relationship and produce offspring. AIM: To evaluate factors associated with achievement of sexual intercourse, marriage, and paternity in patients with hypospadias who have reached adulthood...
October 2016: Journal of Sexual Medicine
https://www.readbyqxmd.com/read/27496947/maternal-first-trimester-serum-levels-of-free-beta-human-chorionic-gonadotrophin-and-male-genital-anomalies
#18
F J Schneuer, C Bower, A J A Holland, V Tasevski, S E Jamieson, A Barker, L Lee, J A Majzoub, N Nassar
STUDY QUESTION: Are maternal first trimester levels of serum free-beta hCG associated with the development of hypospadias or undescended testis (UDT) in boys? SUMMARY ANSWER: Overall, first trimester maternal levels of serum free-beta hCG are not associated with hypospadias or UDT. However, elevated levels were found in severe phenotypes (proximal hypospadias and bilateral UDT) suggesting an altered pathway of hormonal release in early pregnancy. WHAT IS KNOWN ALREADY: Human chorionic gonadotrophin peaks in first trimester of pregnancy stimulating fetal testosterone production, which is key to normal male genital development...
August 2016: Human Reproduction
https://www.readbyqxmd.com/read/27473011/improved-outcomes-after-technical-modifications-in-tubularized-incised-plate-urethroplasty-for-mid-shaft-and-proximal-hypospadias
#19
Yuk Him Tam, Kristine Kit Yi Pang, Yuen Shan Wong, Siu Yan Tsui, Hei Yi Wong, Jennifer Wai Cheung Mou, Kin Wai Chan, Kim Hung Lee
PURPOSE: To investigate and compare the outcomes after tubularized incised plate (TIP) urethroplasty in mid-shaft and proximal hypospadias using a standard and a modified technique. METHODS: We conducted a retrospective study in 104 consecutive children who underwent mid-shaft or proximal TIP repairs from Jan 2007 to Sept 2015. Patients in Cohort One had dorsal dartos (DD) neourethral coverage while patients in Cohort Two had either de-epithelialized split preputial (DESP) or tunica vaginalis (TV) flap coverage...
November 2016: Pediatric Surgery International
https://www.readbyqxmd.com/read/27461378/commentary-to-hypospadias-are-we-as-good-as-we-think-when-we-correct-proximal-hypospadias
#20
Alaa El-Ghoneimi
No abstract text is available yet for this article.
August 2016: Journal of Pediatric Urology
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