Lingual mucosal graft two-stage Bracka technique for redo hypospadias repair

Objectives: To report our initial experience in redo hypospadias repair with a lingual mucosal graft (LMG) using a two-stage Bracka technique. Patients and methods: This study was prospectively conducted and included 26 patients with hypospadias with failed previous repairs. All the patients had a L...

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Autores principales:	Ahmed Sakr, Ehab Elkady, Mohamed Abdalla, Amr Fawzi, Mostafa Kamel, Esam Desoky, Mohamed Seleem, Mohamed Omran, Ehab Elsayed, Salem Khalil
Formato:	article
Lenguaje:	EN
Publicado:	Taylor & Francis Group 2017
Materias:	Lingual Graft Bracka Hypospadias Redo Diseases of the genitourinary system. Urology RC870-923
Acceso en línea:	https://doaj.org/article/97957febaf024289a78d95244e6bb63b
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spelling	oai:doaj.org-article:97957febaf024289a78d95244e6bb63b2021-12-02T10:23:51ZLingual mucosal graft two-stage Bracka technique for redo hypospadias repair2090-598X10.1016/j.aju.2017.06.002https://doaj.org/article/97957febaf024289a78d95244e6bb63b2017-09-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2090598X17300736https://doaj.org/toc/2090-598XObjectives: To report our initial experience in redo hypospadias repair with a lingual mucosal graft (LMG) using a two-stage Bracka technique. Patients and methods: This study was prospectively conducted and included 26 patients with hypospadias with failed previous repairs. All the patients had a LMG using a two-stage Bracka technique. In the first stage, the harvested LMG, from the ventro-lateral surface of the tongue, was implanted in a well-prepared vascularised bed in the ventral aspect of the penis. After 6 months, tubularisation of the well-taken graft was completed. Tunica vaginalis or a dartos flap was used as second-layer coverage of the neourethra. Success was defined as acceptable aesthetic and functional outcomes without any additional surgical interventions. Results: The mean (SD) patient age was 5.15 (1.6) years. The mean (SD) LMG length was 3.82 (0.9) cm and the width was 1.5 (0.5) cm. The mean (SD) number of previous repairs was 2.76 (1.1). The mean (SD) follow-up was 12 (2) months. Donor-site complications included: pain in all patients, with a pain score of >3 on the visual analogue pain scale (0–10) in 10 (38%); and speech problems in 19 (73%). First-stage complications were graft loss (n = 2) and contracture (n = 1). The second stage was completed in 23 patients resulting in the following significant complications: meatal stenosis plus fistula (n = 2), breakdown (n = 1). Successful hypospadias repair was achieved in 77% (20/26) of the patients. Conclusion: Lingual mucosa is a reliable and versatile graft material in the armamentarium of two-stage Bracka hypospadias repair with the merits of easy harvesting and minor donor-site complications.Ahmed SakrEhab ElkadyMohamed AbdallaAmr FawziMostafa KamelEsam DesokyMohamed SeleemMohamed OmranEhab ElsayedSalem KhalilTaylor & Francis GrouparticleLingualGraftBrackaHypospadiasRedoDiseases of the genitourinary system. UrologyRC870-923ENArab Journal of Urology, Vol 15, Iss 3, Pp 236-241 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Lingual Graft Bracka Hypospadias Redo Diseases of the genitourinary system. Urology RC870-923
spellingShingle	Lingual Graft Bracka Hypospadias Redo Diseases of the genitourinary system. Urology RC870-923 Ahmed Sakr Ehab Elkady Mohamed Abdalla Amr Fawzi Mostafa Kamel Esam Desoky Mohamed Seleem Mohamed Omran Ehab Elsayed Salem Khalil Lingual mucosal graft two-stage Bracka technique for redo hypospadias repair
description	Objectives: To report our initial experience in redo hypospadias repair with a lingual mucosal graft (LMG) using a two-stage Bracka technique. Patients and methods: This study was prospectively conducted and included 26 patients with hypospadias with failed previous repairs. All the patients had a LMG using a two-stage Bracka technique. In the first stage, the harvested LMG, from the ventro-lateral surface of the tongue, was implanted in a well-prepared vascularised bed in the ventral aspect of the penis. After 6 months, tubularisation of the well-taken graft was completed. Tunica vaginalis or a dartos flap was used as second-layer coverage of the neourethra. Success was defined as acceptable aesthetic and functional outcomes without any additional surgical interventions. Results: The mean (SD) patient age was 5.15 (1.6) years. The mean (SD) LMG length was 3.82 (0.9) cm and the width was 1.5 (0.5) cm. The mean (SD) number of previous repairs was 2.76 (1.1). The mean (SD) follow-up was 12 (2) months. Donor-site complications included: pain in all patients, with a pain score of >3 on the visual analogue pain scale (0–10) in 10 (38%); and speech problems in 19 (73%). First-stage complications were graft loss (n = 2) and contracture (n = 1). The second stage was completed in 23 patients resulting in the following significant complications: meatal stenosis plus fistula (n = 2), breakdown (n = 1). Successful hypospadias repair was achieved in 77% (20/26) of the patients. Conclusion: Lingual mucosa is a reliable and versatile graft material in the armamentarium of two-stage Bracka hypospadias repair with the merits of easy harvesting and minor donor-site complications.
format	article
author	Ahmed Sakr Ehab Elkady Mohamed Abdalla Amr Fawzi Mostafa Kamel Esam Desoky Mohamed Seleem Mohamed Omran Ehab Elsayed Salem Khalil
author_facet	Ahmed Sakr Ehab Elkady Mohamed Abdalla Amr Fawzi Mostafa Kamel Esam Desoky Mohamed Seleem Mohamed Omran Ehab Elsayed Salem Khalil
author_sort	Ahmed Sakr
title	Lingual mucosal graft two-stage Bracka technique for redo hypospadias repair
title_short	Lingual mucosal graft two-stage Bracka technique for redo hypospadias repair
title_full	Lingual mucosal graft two-stage Bracka technique for redo hypospadias repair
title_fullStr	Lingual mucosal graft two-stage Bracka technique for redo hypospadias repair
title_full_unstemmed	Lingual mucosal graft two-stage Bracka technique for redo hypospadias repair
title_sort	lingual mucosal graft two-stage bracka technique for redo hypospadias repair
publisher	Taylor & Francis Group
publishDate	2017
url	https://doaj.org/article/97957febaf024289a78d95244e6bb63b
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Lingual mucosal graft two-stage Bracka technique for redo hypospadias repair

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