지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2020.1
- 수록면
- 514 - 520 (7page)
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초록· 키워드
오류제보하기
Purpose: We compared the protective effect of additional tunica vaginalis flap coverage combined with a dartos flap against urethrocutaneous fistulas in tubularized incised plate (TIP) urethroplasty in a randomized controlled trial. Materials and Methods: This prospective, randomized controlled trial in a single tertiary center enrolled 50 patients in whom it was feasible to perform single TIP urethroplasty between 2016 and 2017. Consecutive children were randomly allocated to study group A (additional tunica vaginalis flap coverage, n=25) or control group B (dartos-only coverage, n=25). All patients were examined in the outpatient clinic at 1, 3, 12, and 24 months. Postoperative cosmetic outcomes were evaluated by surgeons and parents using the Pediatric Penile Perception Scale questionnaire. Results: In group B, 1 of 25 patients (4.0%) developed an urethrocutaneous fistula within 12 months. An additional two cases of fistula were found in all proximal-type hypospadias patients at 24 months in the same group without statistical significance (p=0.07). The penile cosmetic satisfaction rate was not significantly different between the groups according to scores on the Pediatric Penile Perception Scale. Conclusions: Our randomized controlled trial did not show a significant decrease in the incidence of or a significant slowing of the progression of postoperative fistulas after TIP urethroplasty by the use of additional tunica vaginalis coverage. A tunica vaginalis flap is not routinely recommended but could have a selective role in proximal-type TIP urethroplasty with deficient dartos and subcutaneous tissue to cover the neourethra.
목차
등록된 정보가 없습니다.
참고문헌 (21)
참고문헌 신청
Snodgrass W / 1994 / Tubularized, incised plate urethroplasty for distal hypospadias / J Urol 151:464~465
Pfistermuller KL / 2015 / Meta-analysis of complication rates of the tubularized incised plate(TIP)repair / J Pediatr Urol 11:54~59
Snodgrass WT / 2013 / Urethral strictures following urethral plate and proximal urethral elevation during proximal TIP hypospadias repair / J Pediatr Urol 9(6 Pt B):990~994
Snodgrass W / 2011 / Tubularized incised plate proximal hypospadias repair : continued evolution and extended applications / J Pediatr Urol 7:2~9
Fahmy O / 2016 / Algorithm for optimal urethral coverage in hypospadias and fistula repair : a systematic review / Eur Urol 70:293~298
Pfistermuller KL / 2015 / Meta-analysis of complication rates of the tubularized incised plate(TIP)repair / J Pediatr Urol 11:54~59
Snodgrass WT / 2013 / Urethral strictures following urethral plate and proximal urethral elevation during proximal TIP hypospadias repair / J Pediatr Urol 9(6 Pt B):990~994
Snodgrass W / 2011 / Tubularized incised plate proximal hypospadias repair : continued evolution and extended applications / J Pediatr Urol 7:2~9
Fahmy O / 2016 / Algorithm for optimal urethral coverage in hypospadias and fistula repair : a systematic review / Eur Urol 70:293~298
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