Evaluation of Double-Faced Tubularized Preputial Flap versus Duckett’s Procedure for Repair of Penoscrotal Hypospadias with Significant Penile Curvature: A Comparative Study
Background. Proximal hypospadias, with significant curvature, is one of the most challenging anomalies. Great diversity and a large number of procedures described over the last 4 decades confirmed the fact that no single procedure has been universally accepted or successful. So, the aim of this stud...
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| Format: | Article |
| Language: | English |
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Wiley
2022-01-01
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| Series: | Advances in Urology |
| Online Access: | http://dx.doi.org/10.1155/2022/6996933 |
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| author | Mohamed Shahin Mohamed Abdalrazek Mohamed Abdelmaboud Ibrahim Mahmoud Elsayaad Muhammad Abdelhafez Mahmoud Mahmoud Abdelhady Mousa Ahmed Elshamy Omar Alsamahy Mohamed Rehan Sayed Elhady Ibrahim Gamaan |
| author_facet | Mohamed Shahin Mohamed Abdalrazek Mohamed Abdelmaboud Ibrahim Mahmoud Elsayaad Muhammad Abdelhafez Mahmoud Mahmoud Abdelhady Mousa Ahmed Elshamy Omar Alsamahy Mohamed Rehan Sayed Elhady Ibrahim Gamaan |
| author_sort | Mohamed Shahin |
| collection | DOAJ |
| description | Background. Proximal hypospadias, with significant curvature, is one of the most challenging anomalies. Great diversity and a large number of procedures described over the last 4 decades confirmed the fact that no single procedure has been universally accepted or successful. So, the aim of this study is to evaluate double-faced tubularized preputial flap (DFPF) versus transverse tubularized inner preputial flap (Duckett’s procedure) as regards surgical outcomes, complications rate, and cosmetic results for repair of penoscrotal hypospadias with chordee. Patients and Methods. This was a prospective comparative study on 144 children with primary penoscrotal hypospadias with moderate or severe chordee, conducted at New Damietta and Assuit hospitals, Al-Azhar University, from March 2016 to March 2022. The patients were randomly divided into two equal groups; group A (n = 72) underwent DFPF, and group B (n = 72) underwent Duckett’s procedure. Results. No significant difference was identified as regards demographic data. The follow-up period ranged from 20 to 66 months (mean of 28 months after DFPF and 31 months after Duckett’s repair), and the complication rate was 20.1% (29 of 144 children). There were statistically significant differences between the two groups as regards the urethral stricture, penile rotation, and total complication rate. HOSE score was adopted for assessment of surgical outcomes, urine stream, and cosmetic results. Conclusions. The DFPF technique is feasible and reliable for one-stage repair of penoscrotal hypospadias with chordee and can be considered as a good option as it ensures better surgical and cosmetic outcomes with lower incidence of complications. |
| format | Article |
| id | doaj-art-a4526d9e60cd4f388d213bcd76f1b7fc |
| institution | Kabale University |
| issn | 1687-6377 |
| language | English |
| publishDate | 2022-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Advances in Urology |
| spelling | doaj-art-a4526d9e60cd4f388d213bcd76f1b7fc2025-02-03T01:23:36ZengWileyAdvances in Urology1687-63772022-01-01202210.1155/2022/6996933Evaluation of Double-Faced Tubularized Preputial Flap versus Duckett’s Procedure for Repair of Penoscrotal Hypospadias with Significant Penile Curvature: A Comparative StudyMohamed Shahin0Mohamed Abdalrazek1Mohamed Abdelmaboud2Ibrahim Mahmoud Elsayaad3Muhammad Abdelhafez Mahmoud4Mahmoud Abdelhady Mousa5Ahmed Elshamy6Omar Alsamahy7Mohamed Rehan8Sayed Elhady9Ibrahim Gamaan10Pediatric Surgery Unit-Department of SurgeryPediatric Surgery DepartmentPediatric Surgery DepartmentPediatric Surgery Unit-Department of SurgeryPediatric Surgery DepartmentPediatric Surgery Unit-Department of SurgeryPediatric Surgery Unit-Department of SurgeryPediatric Surgery DepartmentUrology DepartmentPediatric Surgery Unit-Department of SurgeryPediatric Surgery DepartmentBackground. Proximal hypospadias, with significant curvature, is one of the most challenging anomalies. Great diversity and a large number of procedures described over the last 4 decades confirmed the fact that no single procedure has been universally accepted or successful. So, the aim of this study is to evaluate double-faced tubularized preputial flap (DFPF) versus transverse tubularized inner preputial flap (Duckett’s procedure) as regards surgical outcomes, complications rate, and cosmetic results for repair of penoscrotal hypospadias with chordee. Patients and Methods. This was a prospective comparative study on 144 children with primary penoscrotal hypospadias with moderate or severe chordee, conducted at New Damietta and Assuit hospitals, Al-Azhar University, from March 2016 to March 2022. The patients were randomly divided into two equal groups; group A (n = 72) underwent DFPF, and group B (n = 72) underwent Duckett’s procedure. Results. No significant difference was identified as regards demographic data. The follow-up period ranged from 20 to 66 months (mean of 28 months after DFPF and 31 months after Duckett’s repair), and the complication rate was 20.1% (29 of 144 children). There were statistically significant differences between the two groups as regards the urethral stricture, penile rotation, and total complication rate. HOSE score was adopted for assessment of surgical outcomes, urine stream, and cosmetic results. Conclusions. The DFPF technique is feasible and reliable for one-stage repair of penoscrotal hypospadias with chordee and can be considered as a good option as it ensures better surgical and cosmetic outcomes with lower incidence of complications.http://dx.doi.org/10.1155/2022/6996933 |
| spellingShingle | Mohamed Shahin Mohamed Abdalrazek Mohamed Abdelmaboud Ibrahim Mahmoud Elsayaad Muhammad Abdelhafez Mahmoud Mahmoud Abdelhady Mousa Ahmed Elshamy Omar Alsamahy Mohamed Rehan Sayed Elhady Ibrahim Gamaan Evaluation of Double-Faced Tubularized Preputial Flap versus Duckett’s Procedure for Repair of Penoscrotal Hypospadias with Significant Penile Curvature: A Comparative Study Advances in Urology |
| title | Evaluation of Double-Faced Tubularized Preputial Flap versus Duckett’s Procedure for Repair of Penoscrotal Hypospadias with Significant Penile Curvature: A Comparative Study |
| title_full | Evaluation of Double-Faced Tubularized Preputial Flap versus Duckett’s Procedure for Repair of Penoscrotal Hypospadias with Significant Penile Curvature: A Comparative Study |
| title_fullStr | Evaluation of Double-Faced Tubularized Preputial Flap versus Duckett’s Procedure for Repair of Penoscrotal Hypospadias with Significant Penile Curvature: A Comparative Study |
| title_full_unstemmed | Evaluation of Double-Faced Tubularized Preputial Flap versus Duckett’s Procedure for Repair of Penoscrotal Hypospadias with Significant Penile Curvature: A Comparative Study |
| title_short | Evaluation of Double-Faced Tubularized Preputial Flap versus Duckett’s Procedure for Repair of Penoscrotal Hypospadias with Significant Penile Curvature: A Comparative Study |
| title_sort | evaluation of double faced tubularized preputial flap versus duckett s procedure for repair of penoscrotal hypospadias with significant penile curvature a comparative study |
| url | http://dx.doi.org/10.1155/2022/6996933 |
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