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Journals / Haseki Tıp Bülteni / 2014 / Cilt: 52 - Sayı: 3

Applicability of Distal Hypospadias Surgery in State Hospitals: Retrospective Analysis of 48 Cases

Distal Hipospadias Cerrahisinin Devlet Hastanesinde Uygulanabilirliği: 48 Vakanın Geriye Dönük Analizi

Faruk ÖZGÖR
Ömer SARILAR
Ahmet Yalçın BERBEROĞLU
Abdülmüttalip ŞİMŞEK
Pages
195–198
DOI
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Additionally, TIPU was performed in three patients in whom fistulas developed.Conclusion: We aimed to demonstrate that distal hypospadias surgery could be performed with low complication and high success rates in state hospitals by surgeons who receive training in hypospadias surgery

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Objective & Hypothesis:Aim: Hypospadias is one of the most common malformations in the male genital tract and distal hypospadias is the most frequent type.
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Key Findings & Data:In this study, we aimed to retrospectively analyze medical records of patients who have undergone distal hypospadias surgery between April 2011 and April 2013 in a state hospital.Methods: We retrospectively evaluated hospital records of 48 patients who have been operated for distal hypospadias between April 2011 and April 2013.
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Conclusion & Impact:Additionally, TIPU was performed in three patients in whom fistulas developed.Conclusion: We aimed to demonstrate that distal hypospadias surgery could be performed with low complication and high success rates in state hospitals by surgeons who receive training in hypospadias surgery
🔬Design:Research Article
📍Scope:2011 Verileri
⚙️Variables:Domain Parameters

Abstract

Aim: Hypospadias is one of the most common malformations in the male genital tract and distal hypospadias is the most frequent type. In this study, we aimed to retrospectively analyze medical records of patients who have undergone distal hypospadias surgery between April 2011 and April 2013 in a state hospital.Methods: We retrospectively evaluated hospital records of 48 patients who have been operated for distal hypospadias between April 2011 and April 2013. All patients were operated by a single surgeon (AŞ). Patient age, type of hypospadias, the presence of chordee and history of circumcision were evaluated. In addition, duration of surgery, duration of catheterization, length of hospital stay, and short-term and long-term complications were recorded.Results: The mean age of the patients was 7.38±3.77years. Subcoronal hypospadias was the most frequent type and eight of patients had chordee. A total of 42 patients underwent tubularized incised plate urethroplasty (TIPU) and six patients underwent meatal advancement and glanduloplasty (MAGPI). The mean duration of surgery was 83.41±25.65 minutes. None of the patients had a short-term complication; meatus stenosis developed during longterm follow-up in three patients who were treated by dilatation. Additionally, TIPU was performed in three patients in whom fistulas developed.Conclusion: We aimed to demonstrate that distal hypospadias surgery could be performed with low complication and high success rates in state hospitals by surgeons who receive training in hypospadias surgery

Özet

Amaç: Hipospadias erkek genital sisteminin sık karşılaşılan anomalilerinden biridir ve en sık distal tipi görülür. Çalışmamızda devlet hastanesinde distal hipospadias cerrahisi olan 48 vakanın sonuçlarını sunmayı amaçladık.Yöntemler: Nisan 2011-Nisan 2013 tarihleri arasında distal hipospadias nedeniyle opere olan toplam 48 hastanın dosyaları geriye dönük olarak incelendi. Hastaların tamamı tek cerrah tarafından opere edildi (AŞ). Hastaların yaşı, hipospadias tipi, kordi varlığı, geçirilmiş sünnet öyküsü incelendi. Ayrıca operasyon süresi, kataterizasyon süresi, hastanede kalış süresi, erken ve geç dönem komplikasyonlar kaydedildi.Bulgular: Hastaların ortalama yaşı 7,38±3,77 olarak hesaplandı. En sık subcoronal hipospadias saptanırken hastaların sekiz tanesinde kordi mevcuttu. Hastaların 42' sine Tubülarize insize plate üretroplasti (TİPU) operasyonu yapılırken, altı hastaya Meatal ilerletme ve granüloplasti (MAGPI) operasyonu yapıldı. Ortalama operasyon süresi 83,41±25,65 dakika olarak ölçüldü. Hiçbir hastada erken dönem komplikasyon oluşmazken, uzun dönem takiplerde üç hastada meatus dilatasyonu ile tedavi edilen meatus stenozu gelişti. Yine uzun dönem takiplerde fistül gelişen üç hastaya tekrar TIPU prosedürü uygulandı. Sonuç: Distal hipospadias cerrahisinin düşük komplikasyon ve yüksek başarı oranlarıyla, hipospadias cerrahisi eğitimi almış kişilerce devlet hastanelerinde de başarıyla uygulanabileceğini göstermeyi amaçladık.

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Cite This Article

ÖZGÖR, F., SARILAR, Ö., BERBEROĞLU, A. Y., ŞİMŞEK, A. (2014). Applicability of Distal Hypospadias Surgery in State Hospitals: Retrospective Analysis of 48 Cases. Haseki Tıp Bülteni, Cilt: 52 - Sayı: 3, 195–198. https://ajindex.com/articles/267869

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