Comparison of Dartos flap and spongioplasty in Snodgrass urethroplasty in distal penile hypospadias  

作　　者：Anju Verma Shahid Murtaza Vijay Kumar Kundal Amita Sen Divya Gali 

机构地区：[1]Department of Paediatric Surgery,Dr Ram Manohar Lohia Hospital and Atal Bihari Vajpayee Institute of Medical Sciences,New Delhi,Delhi,India

出　　处：《World Journal of Pediatric Surgery》2021年第3期39-43,共5页世界小儿外科杂志（英文）

摘　　要：Background Hypospadias surgery has been continuously evolving,although there is no single technique which can be said to be perfect and suitable for all types of hypospadias.Tubularized incised plate(TIP)urethroplasty(Snodgrass procedure)is presently the most common surgical procedure performed for distal penile hypospadias(DPH).The aim of this study was to compare the outcome of TIP urethroplasty using Dartos flap(DF)and spongioplasty as second layer in DPH.Methods A total of 30 patients of DPH were repaired using TIP urethroplasty with DF or spongioplasty as second layer from January 2017 to June 2018.Out of 30 patients,TIP with DF was done in 15 patients(group A)and TIP with spongioplasty was done in the remaining 15 patients(group B).Preoperative mean age and weight were comparable in both groups.Postoperative complications,namely,postoperative edema,residual chordee,urethrocutaneous fistula(UCF),meatal stenosis and final cosmesis,were recorded.Results In both groups,complications included postoperative edema(Gp A-1Gp B-1),residual chordee(Gp A-1,Gp B-1),UCF(Gp A-3,Gp B-4),meatal stenosis(Gp A-1,Gp B-5)and poor cosmesis(Gp A-3,Gp B-4).Wound infection was managed with appropriate antibiotics,and meatal stenosis responded to calibration in five patients.Although it seems that DF has a better outcome clinically,the difference between the two techniques was statistically not significant.Conclusion DF as an additional cover to TIP is associated with an acceptable complication and has good cosmesis compared with spongioplasty;however,the difference is not statistically significant.

关 键 词：EDEMA SNODGRASS DISTAL 

分 类 号：R726.9[医药卫生—儿科]