Double dartos flap layer in tubularized incised plate urethroplasty to prevent urethrocutaneous fistula in uncircumcised patients with distal hypospadias

作     者：Raed Al-Taher Mohammad Nofal Ali J Yousef Mohammad Rashdan Amjad Tarawneh Jad Alsmadi Eman Hasan Dalal Alshareefi Danah Alenezi Bashayer Abdulrasoul 

作者机构：Department of General SurgeryDivision of Pediatric SurgerySchool of MedicineThe University of JordanAmman 11942Jordan Department of General Surgery and AnesthesiaSchool of MedicineMutah UniversityKarak 61710Jordan Department of PediatricsSchool of MedicineMutah UniversityKarak 61710Jordan Department of General and Special SurgeryDivision of UrologyFaculty of MedicineThe Hashemite UniversityZarqa 13133Jordan 

出 版 物：《Asian Journal of Andrology》 (亚洲男性学杂志（英文版）)

年 卷 期：2023年第25卷第1期

页      面：93-97页

核心收录：

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主　　题：distal hypospadias double-layered preputial dartos flap tubularized incised plate urethroplasty urethrocutaneous fistula 

摘      要：Urethrocutaneous fistula may complicate hypospadias *** noticed that double-layered preputial dartos flaps added to tubularized incised plate urethroplasty can reduce the risk of urethrocutaneous *** aim of this study was to compare the outcomes of tubularized incised plate urethroplasty with double-layered preputial dartos flaps to with single-layered local fascial flaps in preventing urethrocutaneous fistula.A retrospective cohort study was conducted between January 2017 and December 2020 at Jordan University Hospital(Amman,Jordan).Boys who were aged between 6 months and 5 years,diagnosed with distal hypospadias,and not circumcised were *** primary outcome was the occurrence of urethrocutaneous fistula in patients who underwent tubularized incised plate urethroplasty with a double-layered fascial *** results showed a total of 163 boys with distal hypospadias;among them,116 patients underwent tubularized incised plate urethroplasty with a single-layered fascial flap,and 47 underwent tubularized incised plate urethroplasty with a double-layered fascial *** development of urethrocutaneous fistula was higher in the group receiving tubularized incised plate urethroplasty with a single-layered fascial flap than in the group receiving tubularized incised plate urethroplasty with a double-layered fascial flap after 1 month,6 months,and 12 months(6.9%vs 0,10.3%vs 0,and 5.2%vs 0,respectively),and the difference after 6 months was statistically significant(P=0.02).