Urethral mobilization and advancement technique in distal types of hypospadias: short-term local experience

Abstract Background A prospective study was conducted on 65 cases with distal hypospadias operated using the urethral mobilization technique between July 2017 and December 2019. Patients with proximal hypospadias and those with distal hypospadias, but with a hypoplastic urethra, were excluded from t...

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Autor principal:	Obay Abdul Aziz Edan
Formato:	article
Lenguaje:	EN
Publicado:	SpringerOpen 2021
Materias:	Urethral mobilization Distal Hypospadias Pediatrics RJ1-570 Surgery RD1-811
Acceso en línea:	https://doaj.org/article/b14c9f12622e4220b3a3f620701754a2
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spelling	oai:doaj.org-article:b14c9f12622e4220b3a3f620701754a22021-11-14T12:24:43ZUrethral mobilization and advancement technique in distal types of hypospadias: short-term local experience10.1186/s43159-021-00125-42090-5394https://doaj.org/article/b14c9f12622e4220b3a3f620701754a22021-11-01T00:00:00Zhttps://doi.org/10.1186/s43159-021-00125-4https://doaj.org/toc/2090-5394Abstract Background A prospective study was conducted on 65 cases with distal hypospadias operated using the urethral mobilization technique between July 2017 and December 2019. Patients with proximal hypospadias and those with distal hypospadias, but with a hypoplastic urethra, were excluded from the study. In this technique, the urethral tube was mobilized proximally in a ratio of 3–4:1 (the ratio of mobilized urethral length to the initial distance between the native meatus and the tip of the glans) then positioned distally after creating wide glans wings. The aim of this study was to assess the outcome of the urethral mobilization technique in distal hypospadias in our center. Results The age of patients was ranged 9 months to 7 years old (mean 37.5 months); 17 (26%) cases were already circumcised. During the postoperative follow-up, 62 (95.4%) patients had a good caliber neomeatus with a good and straight urinary stream; the remaining 3 (4.6%) cases developed meatal stenosis which responded well to urethral dilatation. One (1.5%) patient had a minor retraction of neomeatus but remained within the glans and not requiring further intervention. Four (6%) cases developed minor hematoma which was resolved on conservative measures. Six (9.2%) patients developed minor wound infection which was treated with daily dressing and antibiotic coverage. Conclusion The urethral mobilization technique is a good choice for repairing distal hypospadias especially for boys who are previously circumcised as the preputial flap is not required in this technique. It provides good cosmetic and functional results, with a fewer complication rate.Obay Abdul Aziz EdanSpringerOpenarticleUrethral mobilizationDistalHypospadiasPediatricsRJ1-570SurgeryRD1-811ENAnnals of Pediatric Surgery, Vol 17, Iss 1, Pp 1-6 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Urethral mobilization Distal Hypospadias Pediatrics RJ1-570 Surgery RD1-811
spellingShingle	Urethral mobilization Distal Hypospadias Pediatrics RJ1-570 Surgery RD1-811 Obay Abdul Aziz Edan Urethral mobilization and advancement technique in distal types of hypospadias: short-term local experience
description	Abstract Background A prospective study was conducted on 65 cases with distal hypospadias operated using the urethral mobilization technique between July 2017 and December 2019. Patients with proximal hypospadias and those with distal hypospadias, but with a hypoplastic urethra, were excluded from the study. In this technique, the urethral tube was mobilized proximally in a ratio of 3–4:1 (the ratio of mobilized urethral length to the initial distance between the native meatus and the tip of the glans) then positioned distally after creating wide glans wings. The aim of this study was to assess the outcome of the urethral mobilization technique in distal hypospadias in our center. Results The age of patients was ranged 9 months to 7 years old (mean 37.5 months); 17 (26%) cases were already circumcised. During the postoperative follow-up, 62 (95.4%) patients had a good caliber neomeatus with a good and straight urinary stream; the remaining 3 (4.6%) cases developed meatal stenosis which responded well to urethral dilatation. One (1.5%) patient had a minor retraction of neomeatus but remained within the glans and not requiring further intervention. Four (6%) cases developed minor hematoma which was resolved on conservative measures. Six (9.2%) patients developed minor wound infection which was treated with daily dressing and antibiotic coverage. Conclusion The urethral mobilization technique is a good choice for repairing distal hypospadias especially for boys who are previously circumcised as the preputial flap is not required in this technique. It provides good cosmetic and functional results, with a fewer complication rate.
format	article
author	Obay Abdul Aziz Edan
author_facet	Obay Abdul Aziz Edan
author_sort	Obay Abdul Aziz Edan
title	Urethral mobilization and advancement technique in distal types of hypospadias: short-term local experience
title_short	Urethral mobilization and advancement technique in distal types of hypospadias: short-term local experience
title_full	Urethral mobilization and advancement technique in distal types of hypospadias: short-term local experience
title_fullStr	Urethral mobilization and advancement technique in distal types of hypospadias: short-term local experience
title_full_unstemmed	Urethral mobilization and advancement technique in distal types of hypospadias: short-term local experience
title_sort	urethral mobilization and advancement technique in distal types of hypospadias: short-term local experience
publisher	SpringerOpen
publishDate	2021
url	https://doaj.org/article/b14c9f12622e4220b3a3f620701754a2
work_keys_str_mv	AT obayabdulazizedan urethralmobilizationandadvancementtechniqueindistaltypesofhypospadiasshorttermlocalexperience
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Urethral mobilization and advancement technique in distal types of hypospadias: short-term local experience

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