Factors affecting outcome of adult hypospadias single stage repair: A prospective observational study

2021 ◽  
Vol 47 (5) ◽  
pp. 420-426
Author(s):  
Hemant Kumar Goel ◽  
◽  
Chaure Mayur Tirthraj ◽  
Sumit Kabra ◽  
Sumit Gahlawat ◽  
...  
Keyword(s):  
Observational Study ◽  
Prospective Observational Study ◽  
Single Stage ◽  
Factors Affecting

scholarly journals Factors affecting outcome in children with snake envenomation: a prospective observational study

2013 ◽  
Vol 98 (8) ◽  
pp. 596-601 ◽  
Author(s):  
J. Sankar ◽  
R. Nabeel ◽  
M. J. Sankar ◽  
L. Priyambada ◽  
S. Mahadevan
Keyword(s):  
Observational Study ◽  
Prospective Observational Study ◽  
Factors Affecting ◽  
Snake Envenomation

Factors affecting difficult peripheral intravenous cannulation in adults: a prospective observational study

2017 ◽  
Vol 26 (7-8) ◽  
pp. 1074-1084 ◽  
Author(s):  
Michela Piredda ◽  
Valentina Biagioli ◽  
Beatrice Barrella ◽  
Ilaria Carpisassi ◽  
Roberta Ghinelli ◽  
...  
Keyword(s):  
Observational Study ◽  
Prospective Observational Study ◽  
Factors Affecting

scholarly journals Preoperative Factors Affecting the Outcome of Single Stage Hypospadias Repair- An Observational Study

2022 ◽  
Vol 8 (1) ◽  
pp. 149-158
Author(s):  
Ab. Hamid Wani
Keyword(s):  
Observational Study ◽  
Major Complication ◽  
Single Stage ◽  
Hypospadias Repair ◽  
Urethrocutaneous Fistula ◽  
Hormonal Stimulation ◽  
Factors Affecting ◽  
Group A ◽  
Group B ◽  
Preoperative Factors

Background:Hypospadias is one of the commonest congenital anomaly in boys which requires either a single stage repair or staged repair. The success of the procedure depend upon the type, anatomy, experience of the surgeon, method of repair and preoperative hormonal stimulation. Aim: The aim of the study was to evaluate the various preoperative factors responsible for outcome of single stage repair in distal penile, mid penile and proximal penile hypospadias. Methods: There were 48 patients in this observational study which were divided into two groups. Group A comprised of 24 patients with glanular and coronal hypospadias while Group B comprised of 16 patients with distal penile, 5 mid penile and 3 proximal penile types with minimal chordae. All the 24 (50%) patients in group A underwent meatal advancement and glanuloplasty incorporated (MAGPI) repair while in group B 15 (31.25%) patients underwent Tabularized Incised Plate (TIP) repair and 9 (18.75%) patients underwent combined TIP and Mathieu’s repair. Results: Overall operative success rate observed in the study was 41 (85.41%) patients. In 7 (14.58%) patients urethrocutaneous fistula as a major complication occurred which included 1 patient in Group A and 2 patients with Distal Penile Hypospadias (DPH), 2 patients with Mid Penile Hypospadias (MPH) and 2 patients with Proximal Penile Hypospadias (PPH) in Group B. In 2 (4.16%) patients, mild meatal stenosis was noted which settled with meatal dilatation. Urethrocutaneous fistula (UCF) disappeared in 2 (4.16%) patients on follow up with regular urethral dilatation. Conclusion: MAGPI is the ideal procedure for glanular/coronal hypospadias. For distal penile hypospadias, TIP alone or combined TIP and Mathieu’s repair gives equally good results. Preoperative testosterone therapy reduces the incidence of complications in a single stage hypospadias repair.

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