You are in:Home/Publications/A Critical Analysis of Stented and Unstented Tubularized Incised Plate Urethroplasty Through a Prospective Randomized Study and Assessment of Factors Influencing the Functional and Cosmetic Outcomes

Prof. Tarek Mohamed El-Karamany Abosteit :: Publications:

Title:
A Critical Analysis of Stented and Unstented Tubularized Incised Plate Urethroplasty Through a Prospective Randomized Study and Assessment of Factors Influencing the Functional and Cosmetic Outcomes
Authors: Tarek M. El-Karamany, Ahmed M. Al-Adl, Rabea G. Omar, Ashraf M. Abdel Aal, Amr S. Eldakhakhny, and Shabieb A. Abdelbaki
Year: 2017
Keywords: Not Available
Journal: Urology
Volume: UROLOGY 107: 202–208, 2017. © 2017 Elsevier Inc.
Issue: 107
Pages: 202 - 208
Publisher: Elsevier
Local/International: International
Paper Link:
Full paper Tarek Mohamed El-Karamany Abosteit _FEC17D42-A31A-421D-9BD9-DB3D6B9585CB.jpeg
Supplementary materials Not Available
Abstract:

To compare, functionally and aesthetically, stented and unstented tubularized incised plate ure- throplasty (TIPU). In addition, predictors of repair success were investigated. One hundred ten children with distal hypospadias were included in this study. The length and width of the urethral plate (UP) and transverse glans diameter (TGD) were measured. Patients were randomized into two groups: stented and unstented TIPU. Postoperative assessment of pain was done using Face, Legs, Activity, Cry, Consolability (FLACC) scale, and cosmetic outcome was evaluated using hypospadias objective scoring evaluation. Uroflow was assessed at 6 months in toilet-trained boys. Complications were graded by the Clavien classification system. In 93 cases, Face, Legs, Activity, Cry, Consolability score, hospital stay, and dressing time were in favor of the unstented group, whereas hypospadias objective scoring evaluation score and uroflow parameters were comparable. TGD and UP width varied significantly between successful and failed cases. Cutoff values of 13.5 mm and 8.5 mm for TGD and UP width, respectively, are required for successful outcome. Acute urinary retention was 12.8% after unstented repair. Detrusor spasm was 47.8% after stented and 8.5% after unstented repair. In both groups, urethrocutaneous fistula of 5.4%, glanular dehiscence of 1.1%, and meatal stenosis of 5.4% were found in cases with small TGD and narrow UP. Unstented TIPU evades the associated drawbacks of the stent along with lower postoperative pain, hospital stay, and dressing time. Even without a postoperative stent, the complication rate in infants with distal hypospadias is low, and short-term functional and aesthetic outcomes were not compromised. UROLOGY 107: 202–208, 2017. © 2017 Elsevier Inc.

Google ScholarAcdemia.eduResearch GateLinkedinFacebookTwitterGoogle PlusYoutubeWordpressInstagramMendeleyZoteroEvernoteORCIDScopus