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RESULTS OF 265 CONSECUTIVE PROXIMAL HYPOSPADIAS REPAIRS USING THE THIERSCH-DUPLAY PRINCIPLE

2004; Lippincott Williams & Wilkins; Volume: 172; Issue: 6 Part 1 Linguagem: Inglês

10.1097/01.ju.0000143880.13698.ca

1527-3792

SAMUEL A. AMUKELE, Adam C. Weiser, Jeffrey Stock, Moneer K. Hanna,

Urologic and reproductive health conditions

No AccessJournal of UrologyPediatric Urology1 Dec 2004RESULTS OF 265 CONSECUTIVE PROXIMAL HYPOSPADIAS REPAIRS USING THE THIERSCH-DUPLAY PRINCIPLE SAMUEL A. AMUKELE, ADAM C. WEISER, JEFFREY A. STOCK, and MONEER K. HANNA SAMUEL A. AMUKELESAMUEL A. AMUKELE More articles by this author , ADAM C. WEISERADAM C. WEISER More articles by this author , JEFFREY A. STOCKJEFFREY A. STOCK More articles by this author , and MONEER K. HANNAMONEER K. HANNA More articles by this author View All Author Informationhttps://doi.org/10.1097/01.ju.0000143880.13698.caAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We review the evolution of the concept of tubularization of the urethral plate and our results in the repair of proximal hypospadias. Materials and Methods: A total of 281 children born with proximal hypospadias underwent Thiersch-Duplay urethroplasty with or without a midline incision of the urethral plate between 1989 and 1998. Followup data were available in 265 children. Results: Excellent functional and cosmetic results were achieved in 88.7% of the patients. The use of either a dartos or tunica vaginalis flap to waterproof the urethral suture line resulted in a decrease in the fistula rate from 17% to 1.8%. Conclusions: The principles of Thiersch-Duplay urethroplasty represent the basic foundation for surgical techniques that use the urethral plate to construct a urethral tube. The use of this principle in the repair of proximal hypospadias compares favorably with other methods. References 1 : Uber die Entstehungweise und operative Behandlung des Epispadie. Arch Heilkd1869; 10: 20. Google Scholar 2 : De l'hypospadias perineo-scrotal et de son traitement chirugical. Arch Gen Med1874; 513: 657. Google Scholar 3 : An operation for hypospadias. Proc R Soc Med1949; 41: 466. Google Scholar 4 : One-stage repair of hypospadias. Urology1975; 5: 475. Google Scholar 5 : Hinging the urethral plate in hypospadias meatoplasty. J Urol1989; 142: 1551. Link, Google Scholar 6 : Tubularized, incised plate urethroplasty for distal hypospadias. J Urol1994; 151: 464. Link, Google Scholar 7 : Distal urethroplasty and glanuloplasty procedure: results of 512 repairs. Urology1997; 49: 449. Google Scholar 8 : Transverse preputial island flap technique for repair of severe hypospadias. Urol Clin North Am1980; 7: 423. Google Scholar 9 : Operation for correction of distal penile ventral curvature with or without hypospadias. J Urol1967; 97: 720. Link, Google Scholar 10 : Dorsal tunica albuginea plication for hypospadias curvature. J Urol1994; 151: 1668. Link, Google Scholar 11 : A case for 2-stage repair of perineoscrotal hypospadias with severe chordee. J Urol2002; 168: 1727. Link, Google Scholar 12 : Tunica vaginalis blanket wrap to prevent urethrocutaneous fistula: an 8-year experience. J Urol1995; 153: 472. Link, Google Scholar 13 : Snodgrass hypospadias repair with vascularized dartos flap: the perfect repair for virgin cases of hypospadias?. J Urol2002; 168: 1723. Link, Google Scholar 14 : Tubularized incised plate urethroplasty for proximal hypospadias. BJU Int2000; 86: 1050. Google Scholar 15 : Tubularized incised-plate urethroplasty for proximal hypospadias. BJU Int2002; 89: 90. Google Scholar 16 : The “long Snodgrass”: applying the tubularized incised plate urethroplasty to penoscrotal hypospadias in 1-stage or 2-stage repairs. J Urol2002; 168: 1748. Link, Google Scholar From the Departments of Urology, Schneider Children's Hospital, Long Island Jewish Medical Center, New Hyde Park (SAA, ACW, MKH) and New York Hospital-Weill Cornell Medical Center, New York, New York (MKH), and Children's Hospital of New Jersey, Saint Barnabas Health Care System, Livingston, New Jersey (JAS, MKH)© 2004 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited bySedberry-Ross S, Stisser B, Henderson C, Rushton H and Belman A (2007) Split Prepuce In Situ Onlay Hypospadias Repair: 17 Years of ExperienceJournal of Urology, VOL. 178, NO. 4S, (1663-1667), Online publication date: 1-Oct-2007.Scuderi N, Chiummariello S and De Gado F (2018) Correction of Hypospadias With a Vertical Preputial Island Flap: A 23-Year ExperienceJournal of Urology, VOL. 175, NO. 3, (1083-1087), Online publication date: 1-Mar-2006.AMUKELE S, STOCK J and HANNA M (2018) MANAGEMENT AND OUTCOME OF COMPLEX HYPOSPADIAS REPAIRSJournal of Urology, VOL. 174, NO. 4 Part 2, (1540-1543), Online publication date: 1-Oct-2005.COOK A, KHOURY A, NEVILLE C, BAGLI D, FARHAT W and SALLE J (2018) A MULTICENTER EVALUATION OF TECHNICAL PREFERENCES FOR PRIMARY HYPOSPADIAS REPAIRJournal of Urology, VOL. 174, NO. 6, (2354-2357), Online publication date: 1-Dec-2005. Volume 172Issue 6 Part 1December 2004Page: 2382-2383 Advertisement Copyright & Permissions© 2004 by American Urological Association, Inc.Keywordsreconstructive surgical procedureshypospadiaspenisMetricsAuthor Information SAMUEL A. AMUKELE More articles by this author ADAM C. WEISER More articles by this author JEFFREY A. STOCK More articles by this author MONEER K. HANNA More articles by this author Expand All Advertisement PDF downloadLoading ...