Isolated preputial reconstruction in distal hypospadias

2.50
Hdl Handle:
http://hdl.handle.net/11287/593779
Title:
Isolated preputial reconstruction in distal hypospadias
Authors:
Zimmermann, Eleanor F.; Woodward, M. N.
Abstract:
OBJECTIVE: The aim of this single centre study was to determine: a) the outcome of isolated preputial reconstruction in distal hypospadias and b) overall parental satisfaction. METHODS: A retrospective analysis of case notes was performed to determine outcome. Postal parent-satisfaction questionnaires were devised to quantify subjective assessment of care and outcome. RESULTS: A total of 33 cases of isolated preputial reconstruction were identified between 2006 and 2012. Three sets of notes were untraceable. The median age of the 30 remaining patients at surgery was 23 months (range 11-119). At follow-up, 28 (94%) patients had retractile foreskins that had healed well. One patient (3%) had a foreskin fistula and the parents chose to proceed with circumcision rather than fistula closure. A second patient (3%) developed late phimosis secondary to balanitis xerotica obliterans and also underwent circumcision. Twelve follow-up questionnaires were returned. The median overall success rating of the operation was 4.7/5.0 (94%). All respondents reported that they would recommend the procedure to another parent whose child has a similar diagnosis. CONCLUSION: Isolated preputial reconstruction improves the cosmetic appearances in distal hypospadias, has a low complication rate and offers high parental satisfaction.
Citation:
J Pediatr Urol. 2014 Apr;10(2):399.e1-2.
Publisher:
Elsevier
Journal:
Journal of pediatric urology
Issue Date:
1-Apr-2014
URI:
http://hdl.handle.net/11287/593779
DOI:
10.1016/j.jpurol.2013.10.022
PubMed ID:
24314817
Additional Links:
http://linkinghub.elsevier.com/retrieve/pii/S1477-5131(13)00312-4
Type:
Journal Article
Language:
eng
ISSN:
1873-4898
Appears in Collections:
Urology; 2014 RD&E publications

Full metadata record

DC FieldValue Language
dc.contributor.authorZimmermann, Eleanor F.en
dc.contributor.authorWoodward, M. N.en
dc.date.accessioned2016-01-19T12:34:50Zen
dc.date.available2016-01-19T12:34:50Zen
dc.date.issued2014-04-01en
dc.identifier.citationJ Pediatr Urol. 2014 Apr;10(2):399.e1-2.en
dc.identifier.issn1873-4898en
dc.identifier.pmid24314817en
dc.identifier.doi10.1016/j.jpurol.2013.10.022en
dc.identifier.urihttp://hdl.handle.net/11287/593779en
dc.description.abstractOBJECTIVE: The aim of this single centre study was to determine: a) the outcome of isolated preputial reconstruction in distal hypospadias and b) overall parental satisfaction. METHODS: A retrospective analysis of case notes was performed to determine outcome. Postal parent-satisfaction questionnaires were devised to quantify subjective assessment of care and outcome. RESULTS: A total of 33 cases of isolated preputial reconstruction were identified between 2006 and 2012. Three sets of notes were untraceable. The median age of the 30 remaining patients at surgery was 23 months (range 11-119). At follow-up, 28 (94%) patients had retractile foreskins that had healed well. One patient (3%) had a foreskin fistula and the parents chose to proceed with circumcision rather than fistula closure. A second patient (3%) developed late phimosis secondary to balanitis xerotica obliterans and also underwent circumcision. Twelve follow-up questionnaires were returned. The median overall success rating of the operation was 4.7/5.0 (94%). All respondents reported that they would recommend the procedure to another parent whose child has a similar diagnosis. CONCLUSION: Isolated preputial reconstruction improves the cosmetic appearances in distal hypospadias, has a low complication rate and offers high parental satisfaction.en
dc.language.isoengen
dc.publisherElsevieren
dc.relation.urlhttp://linkinghub.elsevier.com/retrieve/pii/S1477-5131(13)00312-4en
dc.titleIsolated preputial reconstruction in distal hypospadiasen
dc.typeJournal Articleen
dc.identifier.journalJournal of pediatric urologyen

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