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To compare the outcome of applying autologous platelet-rich plasma membrane layer and dartos fascial flap versus only dartos fascial flap in mid and distal penile hypospadias surgery. A total of 220 patients fulfilling the selection criteria were admitted after taking informed consent. Cases were randomly divided into groups A and B using a random generator of the Excel program. In group A, dartos flap and PRP sheet layer were applied and in group B, only a preputial dartos fascial flap was applied
Objective To compare the outcome of application of autologous platelet-rich plasma membrane layer and dartos fascial flap versus only dartos fascial flap in mid and distal penile hypospadias surgery.
Methods This randomized controlled trial was conducted at Pediatric General surgical department, the Children's hospital and the University of Child health, Lahore for the period of 12 months. Non probability, purposive sampling was used for data collection and randomization was done to assign the treatment. Total of 220 patients fulfilling the selection criteria were admitted after taking an informed consent. Cases were randomly divided into two groups A and B using random generator of Excel program. In group-A, dartos flap and PRP sheet layer was applied and in group-B, only a preputial dartos fascial flap was applied.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| A dartos flap and PRP layer | Experimental | dartos flap and PRP layer was applied in hypospadias surgery as additional layer |
|
| preputial dartos flap layer | Experimental | preputial dartos flap layer applied as additional layer |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| PRP layer | Other | platelet rich plasma layer was applied in addition to dartos flap |
|
| Measure | Description | Time Frame |
|---|---|---|
| wound infectiom | local wound infection assessed by southampton wound assessment scale where 0 means excellent and 4 means worst | 30 days |
| frequency of glans dehiscence | glans dehiscence observed | 30 days |
| frequency of meatal stenosis | meatal stenosis assessed on examination | 30 days |
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Inclusion Criteria:
Exclusion Criteria:
only males with hypospadias
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| Name | Affiliation | Role |
|---|---|---|
| Muhammad Adeel Ashiq, M.S | CHUCHS | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The Children Hospital | Lahore | Punjab Province | 42000 | Pakistan |
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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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randomized control trial
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| dartos flap | Other | dartos flap alone was used |
|
| 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 |