Evaluation of the surgical approach in urethroplasty and glanuloplasty according to “Duplay approach” for hypospadias patients

Authors

  • Mudar Aldali Tishreen University
  • Hassan Naser Tishreen University
  • Louai Naddaf Tishreen University

Abstract

Objective: The aim of the research is to evaluate the surgical approach in urethroplasty and glanuloplasty according to “Duplay approach” for hypospadias patients in Tishreen University Hospital between 1/1/2018 and 1/1/2022.

Methods: Study type: A Prospective and Retrospective Observational Study
The research sample consisted of (40) pediatric patients who attended Tishreen University Hospital with hypospadias and who underwent surgical repair using the Duplay method, Where the patient was evaluated before the surgery and evaluated the surgery and follow-up after.

Results: The patients were divided into three age groups to facilitate the study of the results and emphasizing the importance of choosing the appropriate time for surgical repair, as the largest percentage was for children between 3 -5 years (52.5%). We divided them into groups according to the degree of hypospadias, where the largest percentage of sub coronary hypospadias was (47.5%). All patients underwent surgery and during surgery, a Nelaton catheter for urinary drainage was chosen, the most used size was 8Fr in 28 patients (70% of the research sample). An incision of the urethral plate has been made in 38 patients (95%). (PDS 6-0) suture was used to manufacture the urethra and glans in 36 patients (90%). The functional results were evaluated, and the urine flow was direct anterior in (85%) of the patients, while a divergence or bisection of the urine flow was found in (15%). However, in the following reviews, one patient had a bisection in the urine stream and a divergence in three patients. As for the irritation symptoms, they were present in 4 patients after the removal of the urinary catheter, and remained present in the third review in only one patient. Obstructive symptoms were present in 6 patients after removal of the urinary catheter, and remained present in only two patients in the third review.
Postoperative complications were also evaluated. Meatal stenosis was found in 4 patients (10%). The Urethrocutaneous fistula was found in 3 patients (7.5%).
Conclusions: Duplay approach in urethroplasty and glanuloplasty for the patients with hypospadias as a good method with Few complications, good functional results, and good visual appearance. We recommend the need to use accurate surgical tools for hypospadias operations, and choose the appropriate time for surgical repair.

Downloads

Published

2023-09-17

How to Cite

1.
الدالي م, حسان ناصر, لؤي نداف. Evaluation of the surgical approach in urethroplasty and glanuloplasty according to “Duplay approach” for hypospadias patients. Tuj-hlth [Internet]. 2023Sep.17 [cited 2024Jun.30];45(4):333-46. Available from: https://journal.tishreen.edu.sy/index.php/hlthscnc/article/view/15186

Issue

Vol. 45 No. 4 (2023): Tishreen University Journal for Research and Scientific Studies - Health Sciences Series

Section

Master student researches

License

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

The authors retain the copyright and grant the right to publish in the magazine for the first time with the transfer of the commercial right to Tishreen University Journal for Research and Scientific Studies - Health Sciences Series

 Under a CC BY- NC-SA 04 license that allows others to share the work with of the work's authorship and initial publication in this journal. Authors can use a copy of their articles in their scientific activity, and on their scientific websites, provided that the place of publication is indicted in  Tishreen University Journal for Research and Scientific Studies - Health Sciences Series   .  The Readers have the right to send, print and subscribe to the initial version of the article, and the title of  Tishreen University Journal for Research and Scientific Studies - Health Sciences Series  Publisher

journal uses a CC BY-NC-SA license which mean

You are free to:

  • Adapt — remix, transform, and build upon the material
  •  
  • The licensor cannot revoke these freedoms as long as you follow the license terms.

 

  • Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
  • NonCommercial — You may not use the material for commercial purposes.
  • ShareAlike — If you remix, transform, or build upon the material, you must distribute your contributions under the same license as the original.
  • No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.

Most read articles by the same author(s)