Role of Penile Biometric Characteristics on Surgical Outcome of Hypospadias Repair

Overview

Journal Pediatr Surg Int

Specialties General Surgery
Pediatrics

Date 2013 Dec 31

PMID 24374664

Citations 9

Authors

Eloisio Alexsandro da Silva

Tassia Lobountchenko

Matheus Nemer Marun

Atila Rondon

Ronaldo Damiao

Affiliations

Soon will be listed here.

Abstract

Purpose: To assess influence of penile biometric characteristics on surgical outcome of tubularized incised plate (TIP) repair for hypospadias.

Methods: We prospectively studied 42 boys with distal hypospadias that underwent TIP urethroplasty. Biometric assessment prior to surgery consisted of classifying glans shape, urethral plate (UP) length and width, prepuce vascularization and penile size, using a caliper rule, according to previous definitions. Surgical outcome was assessed according to the occurrence of dehiscence, fistula or urethral stricture.

Results: There was no statistical difference among groups concerning postoperative complications. Glans shape: grooved (24/57 %), shallow (9/21 %) and conical (9/21 %). UP width: <10 mm (26/62 %) and ≥10 mm (16/38 %). UP length was evaluated in 29 patients: <10 mm in (12/41 %) and ≥10 mm (17/59 %). Prepuce vascularization: one predominant blood vessel (17/41 %), two predominant blood vessels (8/19 %), H-like form with communication between two well-developed blood vessels (6/14 %) and net-like form with no predominant blood vessels (11/26 %). Penile size was measured in 28 patients under 50th percentile (25/89 %).

Conclusion: Glans shape, UP width, UP length, prepuce vascularization and penile size do not significantly affect the complication rate of TIP repair in distal hypospadias. Most of the patients with distal hypospadias presented with penile size under mean length for age suggesting some form of mild hypogonadism.

Citing Articles

Advancing Precision in Penile Length Measurement: Evidence-based Synthesis of Stretched Penile Length INdicator Technique (SPLINT).

Goel P, Choudhury P, Saroya K, Jain V, Dhua A, Yadav D J Indian Assoc Pediatr Surg. 2024; 29(5):492-504.

PMID: 39479430 PMC: 11521232. DOI: 10.4103/jiaps.jiaps_11_24.

Glans Anthropometry for Preputial Reconstruction in Hypospadias.

Sharma N, Sharma S, Memon M, Sharma M J Indian Assoc Pediatr Surg. 2023; 28(4):314-318.

PMID: 37635884 PMC: 10455707. DOI: 10.4103/jiaps.jiaps_143_22.

Correlation between Glans, Meatus, Shaft Score, and Penile Perception after Hypospadias Repair.

Indriasari V, Alimoeddin P, Pamungkas K J Indian Assoc Pediatr Surg. 2022; 27(5):585-587.

PMID: 36530828 PMC: 9757774. DOI: 10.4103/jiaps.jiaps_231_21.

Hypospadias in toddlers: a multivariable study of prognostic factors in distal to mid-shaft hypospadias and review of literature.

Roshandel M, Aghaei Badr T, Kazemi Rashed F, Salomon S, Ghahestani S, Ferrer F World J Pediatr Surg. 2022; 5(1):e000225.

PMID: 36474630 PMC: 9716871. DOI: 10.1136/wjps-2020-000225.

Hypospadias: A Comprehensive Review Including Its Embryology, Etiology and Surgical Techniques.

Halaseh S, Halaseh S, Ashour M Cureus. 2022; 14(7):e27544.

PMID: 36060359 PMC: 9428502. DOI: 10.7759/cureus.27544.

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