Five Years’ Experience With Hypospadias

Authors : E ARITÜRK, G AYDIN, S GÖRK

Pages : 0-0

Doi:10.5835/jecm.v13i2.661

View : 61 | Download : 13

Publication Date : 2009-12-23

Article Type : Other Papers

Abstract :We evaluated 121 hypospadias which have been treated between 1986 and 1991 at Dicle University Hospital, Deparment of Pediatric Surgery. Patients presented with glanulerinsert ignore into journalissuearticles values(22);, coronalinsert ignore into journalissuearticles values(29);, distal penileinsert ignore into journalissuearticles values(27);, midpenileinsert ignore into journalissuearticles values(19);, proximal penileinsert ignore into journalissuearticles values(9);, penoscrotal insert ignore into journalissuearticles values(11);, perinealinsert ignore into journalissuearticles values(2); and chordee without hypospadiasinsert ignore into journalissuearticles values(2);. The MAGPI and urethral elongation for glanuler and coronal, Mathieu and Horton Devine`s filp-fap for distal penile, Hodgson 1 and tranverse island flap for midpenile, Byar`s modification of buried skin tube for penoscrotal and peri-Heal types were the most common procedures. The complications were fistula formation insert ignore into journalissuearticles values(14.4%);, urethral stenosis insert ignore into journalissuearticles values(8.0%);, flap necrosis insert ignore into journalissuearticles values(1.6%); and loss of neourethra insert ignore into journalissuearticles values(1.6%);. Our inclinations have been changing towards single stage repairs during the last three years. Better results can be achieved by using meticulous surgery, fine suture materials and proper dressing. Bu çalışmamızda, Dicle Üniversitesi Çocuk Cerrahisi servisinde 1986 ile 1991 yılları arasında tedavi edilen 121 hypospadias vakasını gözden geçirdik. Hastalarımızın hipospadias tiplerine göre dağılımları şöyle idi: glanulerinsert ignore into journalissuearticles values(22);, koronalinsert ignore into journalissuearticles values(29);, distal penilinsert ignore into journalissuearticles values(27);, midpenil insert ignore into journalissuearticles values(19);, proksimal penilinsert ignore into journalissuearticles values(9);, penoskrotal insert ignore into journalissuearticles values(11);, perinealinsert ignore into journalissuearticles values(2); ve izole chordeeinsert ignore into journalissuearticles values(2);. Glanuler ve koro-nal tipte MAGPI ve uretral elongasyon, distal penil tipte Mathieu ve Horton Devine flip-flep onarımı, midpenil tipte Hodgson 1 ve transvers ada flebi. penoskrotal ve perineal tip¬lerde ise cilt tüplü Byar modifikasyonu sıklıkla kullanılan teknikler oldu. Gözlenen komp-likasyonlar ise fistül oluşumu insert ignore into journalissuearticles values(%14.4);, uretral darlık insert ignore into journalissuearticles values(%8.0);, flep nekrozuinsert ignore into journalissuearticles values(%1.6); ve neou-retranın kaybı insert ignore into journalissuearticles values(%1.6); şeklinde sıralandı. Son üç sene içinde eğilimimiz daha çok tek aşamalı tamir yönünde değişmektedir. Daha iyi sonuçlar titiz cerrahi, iyi sütür materyal¬leri ve uygun pansumanlarla elde edilebilir.
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