Publications by authors named "German Kozyrev"
Purpose: To analyze the effectiveness of scrotal flaps' use for skin deficit correction in re-operative cases to improve hypospadias' treatment results in children.
Methods: In the Urology Department of the Russian Children's Clinical Hospital (from 2013 to 2019) 46 patients were treated with hypospadias who underwent 3 to 7 failed repairs before being admitted to the clinic. Patients were divided into two groups: Group I - 24 patients with ventral skin deficit and proximal hypospadias; Group II - 22 patients with circumferential skin deficit and mid-shaft hypospadias.
Article Synopsis
- A modified surgical technique called Midline Incision Rotation Flaps was used to correct buried penis in 18 boys, analyzing outcomes from 2013 to 2016.
- The procedure involved a midline incision, removal of excess fat, and creating skin flaps to restore the penis, with assessments made at various postoperative intervals and parent surveys.
- Results indicated that 89% of patients had good cosmetic and functional outcomes, suggesting this technique is effective with a low risk of complications.
Objective: To analyze treatment results of staged surgical repair of proximal forms of hypospadias according to Bracka's technique using preputial vs buccal grafts.
Material And Methods: We retrospectively reviewed 220 patients with proximal forms of hypospadias treated with Bracka's urethroplasty technique. They were divided into 2 groups: Group I-108 patients treated with preputial skin grafts in 2001-2013; Group II-112 patients who underwent urethroplasty with buccal mucosa grafts in 2013-2016.