Objectives: Limited articles are published on reoperative urethroplasty outcomes. We sought to perform a systematic review of re-operative urethroplasty articles over the past fifteen years.
Methods: A systematic review was performed on PubMed using the search terms "Urethra" AND "Surgical Procedures, Operative" OR "Urethroplasty".
Results: Five articles out of 3,541 articles identified between 1998 and 2012 specifically addressed re-operative urethroplasty patients. A total of 212 patients were included in these five studies. Re-operative urethroplasty success rates ranged from 35% to 84%. Success rates were higher in the two studies with over 40 patients and ranged from 78-84%.
Conclusion: Limited studies address re-operative urethroplasty outcomes. Success rates for re-operation are lower than those for initial urethroplasty procedures. Overall, studies with a higher number of patients had an increased success rate.
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J Pediatr Urol
June 2022
Department of Urology, Zagazig University, Faculty of Medicine, Zagazig, Sharkia Governorate, 44519, Egypt.
Introduction: In re-operative hypospadias repair, scarred urethral plate, and deficient unhealthy penile skin are usually problematic. Difficulties are not only in urethroplasty but also in penile skin coverage. Penile skin coverage after urethroplasty with good viable skin decreases the complication rate and increases the satisfaction with repair.
View Article and Find Full Text PDFJ Pediatr Urol
February 2022
Department of Pediatric Surgery, AIIMS, New Delhi, 110029, India.
Objective: This systematic review and meta-analysis aimed to define the current evidence and systematically summarize the relevant data regarding the utility and safety of hyperbaric oxygen therapy (HBOT) as an adjunctive treatment in complicated re-operative cases of hypospadias.
Method: The authors systematically searched the PubMed, EMBASE, Web of Science, and Scopus databases on August 5, 2021. Patients were divided into two groups, i.
Front Pediatr
August 2021
Department of Biostatistics, Nanjing Medical University, Nanjing, China.
The objective of the study is to investigate the feasibility and efficacy of urethroplasty with a Buck's fascia integral-covering technique (BFIC) to wrap and restore the normal anatomical structure of the penis in one-stage hypospadias surgery. One-stage surgeries for hypospadias management were performed using BFIC from January 2016 to September 2020 at four high-volume medical centers in China. The technique integrates Buck's fascia with glans wings to mobilize and wrap the urethra and restore penile anatomical relationships.
View Article and Find Full Text PDFJ Pediatr Urol
June 2017
PARC Urology, 5680 Frisco Square Blvd, Suite 2300, Frisco, TX 75034, USA.
Purpose: The primary aim of this report was to compare urethroplasty complications for primary distal and proximal repairs with those after 1, 2, 3, and 4 or more re-operations.
Methods: Prospectively collected data on consecutive hypospadias repairs (tubularized incised plate (TIP), inlay, two-stage graft) from 2000 to 2015 were reviewed. Isolated fistula closures were excluded.
J Pediatr Urol
February 2017
Department of Paediatric Urology, Great Ormond Street Hospital, Great Ormond Street, London, WC1N 3JN, United Kingdom.
Introduction: Repair of severe primary and revision hypospadias is a demanding procedure. Debate continues as to whether a two-stage approach or single-stage technique is superior. The two-stage procedure with a free graft involves penile straightening followed by application of a graft for the neourethral plate at stage one; with tubularization at stage two after graft maturation.
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