The Outcomes of Urethroplasty for Hypospadias Repair in M. Djamil Hospital, Padang, Indonesia
Journal Title: Journal of Advances in Medical and Pharmaceutical Sciences - Year 2015, Vol 4, Issue 2
Abstract
Background: Hypospadias is believed to result from arrested penile development, leaving a proximal urethral meatus. It has challenged generations of reconstructive surgeons trying to extend the urethra with the goal of restoring as normal function and appearance as possible. It is commonly written that more than 200 urethroplasty techniques have been described. Methods: We retrospectively review the medical records of patients with hypospadias that has been done urethroplasty for hypospadias repair in M. Djamil Hospital from January 2012 to January 2014. The inclusion criteria were all medical records of patients with hypospadias who underwent urethroplasty. The medical records with uncompleted data were excluded. Patients were followed-up by coming to the urology office in M. Djamil Hospital and by phone calling. The successful of therapy defines as no complications based on history taking and physical examination. The techniques used in the study were tubularized incised plate (TIP) technique, Koyanagi technique, onlay island preputial flap technique, transverse island preputial flap technique, and other techniques. Results: Fifty-four hypospadias cases were included in the study, with 27 (50%) cases had underwent TIP technique, 15 (23.1%) cases underwent Koyanagi technique, 5 (7.7%) cases underwent onlay island preputial flap technique, 4 (6.2%) underwent transverse island preputial flap technique, and 3 (4.6%) cases underwent other techniques as their therapy for hypospadias. The positions of the meatus were in the glans (11.1%), distal shaft (13%), middle shaft (33.3%), proximal shaft (22.2%) and scrotal (20.4%). The overall complications were 13 (24.1%) cases include wound dehiscence 6 (46.2%) cases, fistulae 2 (15.4%) cases, difficult to urinate 2 (15.4%) cases, penile torsion 1 (7.6%) case, and hematoma 2 (15.4%) cases. Conclusions: Hypospadias repair remains challenging based on urethroplasty techniques and complications following it. Surgical correction of hypospadias is individualized with the aims of achieving proper urinary function with adequate cosmesis.
Authors and Affiliations
Pande Made Wisnu Tirtayasa, Yevri Zulfiqar, Alvarino .
Keywords
Related Articles
- EP ID EP342626
- DOI 10.9734/JAMPS/2015/19251
- Views 84
- Downloads 0
Rationale of Polyunsaturated Fatty Acids Supplementation in the Frame of the Magnocellular Theory of Dyslexia
In the last decades evidence has been collected that the depletion of the visual magnocellular population (a fast-conduction cellular system made of large ganglion neurons) plays a pathogenetical role in developmental dy...
Extended Spectrum Beta-Lactamases in Clinical Isolates of Escherichia coli and Klebsiella pneumoniae from University of Uyo Teaching Hospital, Uyo-Nigeria
Aims: This study was aimed to investigate the prevalence of ESBL-producing Escherichia coli and Klebsiella pneumoniae in clinical samples from University of Uyo Teaching Hospital (UUTH), Uyo-Nigeria, and determine their...
Drug Release Modification by Using Citric Acid and Glycerol Cross-linked Derivatives of Cashew (Anacardium occidentale L.) Gum
A derivative of cashew gum (CrosCCG) developed by cross-linking the gum with two cross-linking agents, citric acid and glycerol, has been used to modify drug release in Venlafaxine Hydrochloride tablets. Wet granulation...
Molecular Identity and Antimicrobial Profile of Trametes species Collected from the Teaching and Research Farm of the Federal University of Technology, Akure, Nigeria
Aims: The present study investigated the identity, antimicrobial, and secondary metabolites profile of Trametes species collected from forest near the Teaching and Research farm of the Federal University of Technology, A...
Evaluation of Right Ventricular Diastolic Function in Patients with Chronic Obstructive Pulmonary Disease Using Pulsed Doppler Tissue Imaging
Objective: To evaluate the global and segmental diastolic function of the right ventricle using pulsed tissue Doppler imaging (TDI) in patients with clinically stable chronic obstructive pulmonary disease (COPD) without...