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Scarpa MG, Codrich D, Iaquinto M, et al. Resultados a medio plazo de la uretroplastia distal con colocación de sonda y sin ella. Análisis retrospectivo sobre la necesidad de reintervención y los resultados estéticos. Medium-term outcome after stented and un-stented distal urethroplasty: A retrospective analysis on redo-urethroplasty need and cosmetic results. Actas Urol Esp (Engl Ed). 2021;doi: 10.1016/j.acuro.2020.10.016.
Scarpa, M. G., Codrich, D., Iaquinto, M., Guida, E., Cerrina, A., & Schleef, J. (2021). Resultados a medio plazo de la uretroplastia distal con colocación de sonda y sin ella. Análisis retrospectivo sobre la necesidad de reintervención y los resultados estéticos. Medium-term outcome after stented and un-stented distal urethroplasty: A retrospective analysis on redo-urethroplasty need and cosmetic results. Actas urologicas espanolas, . https://doi.org/10.1016/j.acuro.2020.10.016
Scarpa, M G, et al. "Resultados a medio plazo de la uretroplastia distal con colocación de sonda y sin ella. Análisis retrospectivo sobre la necesidad de reintervención y los resultados estéticos." Medium-term outcome after stented and un-stented distal urethroplasty: A retrospective analysis on redo-urethroplasty need and cosmetic results. Actas urologicas espanolas vol. (2021). doi: https://doi.org/10.1016/j.acuro.2020.10.016
Scarpa MG, Codrich D, Iaquinto M, Guida E, Cerrina A, Schleef J. Resultados a medio plazo de la uretroplastia distal con colocación de sonda y sin ella. Análisis retrospectivo sobre la necesidad de reintervención y los resultados estéticos. Medium-term outcome after stented and un-stented distal urethroplasty: A retrospective analysis on redo-urethroplasty need and cosmetic results. Actas Urol Esp (Engl Ed). 2021 Jul 28; doi: 10.1016/j.acuro.2020.10.016. Epub 2021 Jul 28. Spanish. PMID: 34332810.
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Actas Urol Esp (Engl Ed). 2021 Jul 28; doi: 10.1016/j.acuro.2020.10.016. Epub 2021 Jul 28.

Medium-term outcome after stented and un-stented distal urethroplasty: A retrospective analysis on redo-urethroplasty need and cosmetic results.

Actas urologicas espanolas

[Article in Spanish]
M G Scarpa, D Codrich, M Iaquinto, E Guida, A Cerrina, J Schleef

Affiliations

  1. Institute for Maternal and Child Health Burlo Garofolo, Trieste, Italia. Electronic address: [email protected].
  2. Institute for Maternal and Child Health Burlo Garofolo, Trieste, Italia.

PMID: 34332810 DOI: 10.1016/j.acuro.2020.10.016

Abstract

INTRODUCTION: Long-term complication rates after distal hypospadias repair can be close to 20%. There are no available guidelines regarding the need of a catheter in distal urethroplasty. We report a retrospective analysis on medium-term redo-urethroplasty rate and cosmetic results after a two-year pilot study on stented/un-stented distal urethroplasties.

MATERIALS AND METHODS: A total of 11 stented (Group A) and 17 un-stented (Group B) Snodgrass-procedures were performed by one pediatric surgeon at our Institution (2011-2013). The median age at surgery was 2.1 years (range 1-8.5). Inclusion criteria were primitive distal defect, same surgeon in both interventions, catheter-free discharge. The median follow-up was 6.4 years (range 1.5-8.1). All patients received at least one post-operative clinical-cosmetic examination (HOSE). The aim of our study was to compare medium-term complications and redo-urethroplasty rates before starting a randomized study. A retrospective analysis was performed. We used Fisher's exact-test (P<0.05) for statistical analysis.

RESULTS: Of 28 complications, 5 required redo-surgery: 2/11 stented-cases, 3/17 un-stented. Cosmetic results were satisfactory in both groups. These results were not statistically significant (P=1.000).

CONCLUSION: Long-term follow-up is mandatory to know redo-urethroplasty rate and cosmetic outcome after distal stented/un-stented repair. Further studies are needed to evaluate the role of catheter placement and the definitive outcome in distal urethroplasty.

Copyright © 2021 AEU. Publicado por Elsevier España, S.L.U. All rights reserved.

Keywords: Complicaciones; Complications; Con o sin sonda; Cosmetic results; Distal hypospadias; Hipospadias distal; Resultados estéticos (cosméticos); Stented/unstented

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