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Redo hypospadias repair is a challenging situation and its success depends on many factors. Several procedures could be used in such situations with variable outcomes. The investigator in this study aimed at comparing the results of these procedures
Purpose: Our study compared the outcome of the tubularized incised plate urethroplasty procedure and other procedures in the case of redo hypospadias repair. Methods: The participants were categorized into those who were treated by the tubularized incised plate procedure (Group A) and those who were treated by other procedures (Group B) and the collected data were compared between the two groups. The patients were examined regularly during the postoperative period for urethral-cutaneous fistula, meatal stenosis, penile curvature, penile skin coverage, and re-disruption.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Patients managed by tubularized incised plate procedure | Patients with redo hypospadias repair using tubularized incised plate procedure |
| |
| Patients treated by procedures other than tubularized incised plate procedure | Patients with redo hypospadias repair using other procedures |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Tubularized incised plate procedure | Procedure | Tubularized incised plate urethroplasty procedure |
|
| Measure | Description | Time Frame |
|---|---|---|
| The number of participants who developed post-operative meatal stricture | assessment of the position of neo-meatus in glans together with its diameter as well as the presence of stenosis as judged by urethral calibration | at 1 month, 3 months, 6 months, and at the end of the 1st year |
| The rate of development of recurrent post-operative chordae | The recurrence of ventral penile chordae as discovered by recurrent ventral penile curvature | at 1 month, 3 months, 6 months, and at the end of the 1st year |
| The incidence of development of postoperative penile skin scarring | Assessment of penile skin coverage as judged by the development of recurrent curvature, torsion and/or disfigurement | at 1 month, 3 months, 6 months, and at the end of the 1st year |
| The incidence of the development of failed repair as discovered by the position of the neo-meatus | Re-disruption the reposition of the neo-meatus to the previous site | at 1 month, 3 months, 6 months, and at the end of the 1st year |
| The incidence of the development of post-operative urethral-cutaneous fistula | The development of post-operative urethral-cutaneous fistula as judged by the development of a second urethral openning proximal to the neo-meatus | at 1 month, 3 months, 6 months, and at the end of the 1st year |
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Inclusion Criteria:
Exclusion Criteria:
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Fifty patients were included in our study; all of them have disrupted repair of hypospadias. Half of those patients were treated by TIP procedure and the other half were treated by other procedures
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| Name | Affiliation | Role |
|---|---|---|
| Ahmed Elrouby, MD | Pediatric Surgery department | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Faculty of Medicine | Alexandria | 12345 | Egypt |
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| ID | Term |
|---|---|
| D007021 | Hypospadias |
| ID | Term |
|---|---|
| D014564 | Urogenital Abnormalities |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
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| Other procedures | Procedure | Other procedures than tubularized incised plate urethroplasty procedure |
|
| D010409 | Penile Diseases |
| D005832 | Genital Diseases, Male |
| D000091662 | Genital Diseases |
| D052801 | Male Urogenital Diseases |
| D000013 | Congenital Abnormalities |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |