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dc.contributor.authorAydogmus Y.
dc.contributor.authorBagbanci S.
dc.contributor.authorDemirbas A.
dc.contributor.authorHascicek A.M.
dc.date.accessioned2019-11-24T21:01:48Z
dc.date.available2019-11-24T21:01:48Z
dc.date.issued2017
dc.identifier.issn0004-0614
dc.identifier.urihttps://hdl.handle.net/20.500.12513/3565
dc.descriptionPubMed ID: 28976350en_US
dc.description.abstractOBJECTIVES: To compare the success of the 'tubularized incised plate urethroplasty' (TIPU)' and 'Onlay island flap urethroplasty' (OIFU) techniques for the repair of primary proximal hypospadias. MATERIAL AND METHODS: A retrospective evaluation was made of the medical records of 68 patients with primary, non-complicated hypospadias, who were operated on in the Department of Urology, Ministry of Heal- th Ankara Education and Research Hospital, between January 1997 and December 2012. Patients who underwent hypospadias surgery with TIPU were labelled as Group 1 and the OIFU technique as Group 2. Patient age, native meatus localization, operation time, diversion type, surgical success and complication rates were all assessed. Surgical success was evaluated with direct vision of voiding and uroflowmetry at the time of catheter removal, then at 2 weeks, 6 weeks, 6 months and 1 year. RESULTS: Group 1 consisted of 43 patients and Group 2 of 25 patients. The mean age of patients was 6.4±3.1 years in Group 1 and 8.0±4.6 years in Group 2 (p=0.09). The mean operating time was significantly lower in Group 1. (Group 1- 104.8±16.8 min, Group 2-125.4±24.7min; p<0.001) The distribution of meatus localization was similar in both groups. At 1 year postoperatively, urethrocutaneous fistula was the only complication and the definitive success rates were 81.6% in Group 1 and 72% in Group 2. CONCLUSION: Despite less frequent usage since the description and popularization of TIPU for proximal hypospadias repair, OIFU remains a valuable technique as a single-stage procedure in cases where the urethral plate is insufficient. Currently, both TIPU and OIFU are used successfully in the treatment of patients with proximal hypospadias.en_US
dc.language.isoengen_US
dc.publisherIniestares, S.A.en_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectOnlay island flapen_US
dc.subjectProximal hypospadiasen_US
dc.subjectSnodgrass repairen_US
dc.subjectTIPen_US
dc.subjectUrethroplastyen_US
dc.titleComparison of tubularized incised plate urethroplasty and onlay island flap urethroplasty techniques in the repair of primarily proximal hypospadiasen_US
dc.typearticleen_US
dc.relation.journalArchivos Espanoles de Urologiaen_US
dc.contributor.departmentKırşehir Ahi Evran Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri, Üroloji ABDen_US
dc.identifier.volume70en_US
dc.identifier.issue8en_US
dc.identifier.startpage740en_US
dc.identifier.endpage745en_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US


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