Localization of external urethral orifice in coronary sulcus during urethroplasty in case of severe hypospadias accompanied by prostatic utricle cyst

Abstract Background To explore whether opening the external urethral orifice in the coronal sulcus can reduce the incidence of epididymitis after operating on hypospadias with prostatic utricle cyst (PUC) connecting to the vas deferens. Group A consisted of 3 patients with severe hypospadias and PUC...

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Autores principales:	Jun Lu, Junjie Cen, Wenwei Wang, Hongwei Zhao, Pengju Li, Jiacong Mo, Zhenhua Chen, Yiming Tang, Jinhuan Wei, Junhang Luo, Shiying Huang, Yong Fang
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Hypospadias Prostatic utricle cyst Urethroplasty Epididymitis Diseases of the genitourinary system. Urology RC870-923
Acceso en línea:	https://doaj.org/article/ad44393d751e41b18a8ea5eb347b2cc0
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spelling	oai:doaj.org-article:ad44393d751e41b18a8ea5eb347b2cc02021-11-08T11:02:47ZLocalization of external urethral orifice in coronary sulcus during urethroplasty in case of severe hypospadias accompanied by prostatic utricle cyst10.1186/s12894-021-00913-51471-2490https://doaj.org/article/ad44393d751e41b18a8ea5eb347b2cc02021-11-01T00:00:00Zhttps://doi.org/10.1186/s12894-021-00913-5https://doaj.org/toc/1471-2490Abstract Background To explore whether opening the external urethral orifice in the coronal sulcus can reduce the incidence of epididymitis after operating on hypospadias with prostatic utricle cyst (PUC) connecting to the vas deferens. Group A consisted of 3 patients with severe hypospadias and PUC undergoing cystostomy, hypospadias correction and urethroplasty, along with the relocation of the external orifice of the urethra to the coronal sulcus. Group B consisted of 4 patients having initial hypospadias repaired with meatus in the orthotopic position in the glans, presenting with multiple epididymitis after hypospadias surgery and unsuccessful conservative treatment. MR confirmed that all the Group B patients had PUC connecting to the vas deferens. Group B patients underwent urethral dilatation along with urethral catheterization, cutting of the original corpus cavernosum that encapsulated the urethra, and extension of the position of the external urethral orifice to the coronal sulcus. Results In group A, 3 children underwent bladder fistula removal 2 weeks after the operation. The penis developed normally without any complications. Four children in group B underwent stent removal 12 weeks after operation, and one patient was still stenosed and dilated again. All patients in group B were followed without epididymitis recurrence. Conclusions For patients with hypospadias complicating with a PUC, connecting to one side of the vas deferens, the positioning of the external urethral orifice in the coronary sulcus would be helpful to reduce the occurrence of epididymitis.Jun LuJunjie CenWenwei WangHongwei ZhaoPengju LiJiacong MoZhenhua ChenYiming TangJinhuan WeiJunhang LuoShiying HuangYong FangBMCarticleHypospadiasProstatic utricle cystUrethroplastyEpididymitisDiseases of the genitourinary system. UrologyRC870-923ENBMC Urology, Vol 21, Iss 1, Pp 1-6 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Hypospadias Prostatic utricle cyst Urethroplasty Epididymitis Diseases of the genitourinary system. Urology RC870-923
spellingShingle	Hypospadias Prostatic utricle cyst Urethroplasty Epididymitis Diseases of the genitourinary system. Urology RC870-923 Jun Lu Junjie Cen Wenwei Wang Hongwei Zhao Pengju Li Jiacong Mo Zhenhua Chen Yiming Tang Jinhuan Wei Junhang Luo Shiying Huang Yong Fang Localization of external urethral orifice in coronary sulcus during urethroplasty in case of severe hypospadias accompanied by prostatic utricle cyst
description	Abstract Background To explore whether opening the external urethral orifice in the coronal sulcus can reduce the incidence of epididymitis after operating on hypospadias with prostatic utricle cyst (PUC) connecting to the vas deferens. Group A consisted of 3 patients with severe hypospadias and PUC undergoing cystostomy, hypospadias correction and urethroplasty, along with the relocation of the external orifice of the urethra to the coronal sulcus. Group B consisted of 4 patients having initial hypospadias repaired with meatus in the orthotopic position in the glans, presenting with multiple epididymitis after hypospadias surgery and unsuccessful conservative treatment. MR confirmed that all the Group B patients had PUC connecting to the vas deferens. Group B patients underwent urethral dilatation along with urethral catheterization, cutting of the original corpus cavernosum that encapsulated the urethra, and extension of the position of the external urethral orifice to the coronal sulcus. Results In group A, 3 children underwent bladder fistula removal 2 weeks after the operation. The penis developed normally without any complications. Four children in group B underwent stent removal 12 weeks after operation, and one patient was still stenosed and dilated again. All patients in group B were followed without epididymitis recurrence. Conclusions For patients with hypospadias complicating with a PUC, connecting to one side of the vas deferens, the positioning of the external urethral orifice in the coronary sulcus would be helpful to reduce the occurrence of epididymitis.
format	article
author	Jun Lu Junjie Cen Wenwei Wang Hongwei Zhao Pengju Li Jiacong Mo Zhenhua Chen Yiming Tang Jinhuan Wei Junhang Luo Shiying Huang Yong Fang
author_facet	Jun Lu Junjie Cen Wenwei Wang Hongwei Zhao Pengju Li Jiacong Mo Zhenhua Chen Yiming Tang Jinhuan Wei Junhang Luo Shiying Huang Yong Fang
author_sort	Jun Lu
title	Localization of external urethral orifice in coronary sulcus during urethroplasty in case of severe hypospadias accompanied by prostatic utricle cyst
title_short	Localization of external urethral orifice in coronary sulcus during urethroplasty in case of severe hypospadias accompanied by prostatic utricle cyst
title_full	Localization of external urethral orifice in coronary sulcus during urethroplasty in case of severe hypospadias accompanied by prostatic utricle cyst
title_fullStr	Localization of external urethral orifice in coronary sulcus during urethroplasty in case of severe hypospadias accompanied by prostatic utricle cyst
title_full_unstemmed	Localization of external urethral orifice in coronary sulcus during urethroplasty in case of severe hypospadias accompanied by prostatic utricle cyst
title_sort	localization of external urethral orifice in coronary sulcus during urethroplasty in case of severe hypospadias accompanied by prostatic utricle cyst
publisher	BMC
publishDate	2021
url	https://doaj.org/article/ad44393d751e41b18a8ea5eb347b2cc0
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Localization of external urethral orifice in coronary sulcus during urethroplasty in case of severe hypospadias accompanied by prostatic utricle cyst

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