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The Egyptian Journal of Plastic and Reconstructive Surgery
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Shafter, N., Saad El Deen, W., El Oteify, M. (2018). A New Management Protocol for Lowering the Rate of Distal Penile Hypospadias Fistula. The Egyptian Journal of Plastic and Reconstructive Surgery, 42(1), 171-176. doi: 10.21608/ejprs.2018.215084
Nabil Shafter; Wael Saad El Deen; Mahmoud El Oteify. "A New Management Protocol for Lowering the Rate of Distal Penile Hypospadias Fistula". The Egyptian Journal of Plastic and Reconstructive Surgery, 42, 1, 2018, 171-176. doi: 10.21608/ejprs.2018.215084
Shafter, N., Saad El Deen, W., El Oteify, M. (2018). 'A New Management Protocol for Lowering the Rate of Distal Penile Hypospadias Fistula', The Egyptian Journal of Plastic and Reconstructive Surgery, 42(1), pp. 171-176. doi: 10.21608/ejprs.2018.215084
Shafter, N., Saad El Deen, W., El Oteify, M. A New Management Protocol for Lowering the Rate of Distal Penile Hypospadias Fistula. The Egyptian Journal of Plastic and Reconstructive Surgery, 2018; 42(1): 171-176. doi: 10.21608/ejprs.2018.215084

A New Management Protocol for Lowering the Rate of Distal Penile Hypospadias Fistula

Article 25, Volume 42, Issue 1, January 2018, Page 171-176  XML PDF (6.81 MB)
Document Type: Original Article
DOI: 10.21608/ejprs.2018.215084
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Authors
Nabil Shafter* ; Wael Saad El Deen; Mahmoud El Oteify
The Department of Plastic Surgery, Faculty of Medicine, Assiut University Hospitals, Assiut, Egypt
Abstract
Introduction: Hypospadias is a common congenital defect
thought to be caused by incomplete fusion of the urethral
folds, resulting in a proximally located urethral meatus anywhere
from the glans to the perineum.
Patients and Methods: Prospective study constitutes
(n=65) patients with distal penile hypospadias was repaired
by Snodgrass technique and modified Snodgrass technique
between a period from (July 2013 to June 2015) to lowering
the of fistula complication after hypospadias repair. The mean
of age of Snodgrass group is 7.1±3.6 2 (to 17 years in ages)
and 6±4.3 (2 to 23 years) in modified Snodgrass group.
Results: Four patients (6.15%) had developed urethrocutaneous
fistula from the total of cases, and fistula rate in
modified Snodgrass group was better than Snodgrass group < br />as the follow: (n=2 patients 4%) in modified Snodgrass group < br />and (n=2 patients 13.3%) in Snodgrass group.
Conclusion: The complications edema, infection, hemorrhage,
catheter obstruction and fistula formation in modified
Snodgrass group was less than Snodgrass group.
Modified Snodgrass group is better than the S
Keywords
Hypospadias; Modification snodgrass; Fistula
Main Subjects
Congenital anomalies
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