{"id":894,"date":"2019-01-29T13:22:20","date_gmt":"2019-01-29T13:22:20","guid":{"rendered":"https:\/\/cru.aeu.es\/?p=894"},"modified":"2019-01-29T13:22:22","modified_gmt":"2019-01-29T13:22:22","slug":"hipospadia-fracasada-que-hacer","status":"publish","type":"post","link":"https:\/\/cru.aeu.es\/?p=894","title":{"rendered":"Hipospadia fracasada, que hacer?"},"content":{"rendered":"\n


Int Urol Nephrol.<\/a> 2018 Oct;50(10):1795-1800. doi: 10.1007\/s11255-018-1962-2. Epub 2018 Aug 18.<\/p>\n\n\n\n

Management of failed hypospadias: choosing the right method and achieving optimal results.<\/h1>\n\n\n\n

Wu M<\/a>1<\/sup>, Chen F<\/a>2,<\/sup>3<\/sup>, Xie H<\/a>1<\/sup>, Lv Y<\/a>1<\/sup>, Huang Y<\/a>1<\/sup>, Liu Y<\/a>4<\/sup>, Ye W<\/a>4<\/sup>.<\/p>\n\n\n\n

Author information<\/a><\/h3>\n\n\n\n

Abstract<\/h3>\n\n\n\n

OBJECTIVE:<\/h4>\n\n\n\n

Because of the complexity of the abnormalities and limited options for reconstruction of failed hypospadias, creating a neourethra presents a challenge to surgeons. We reviewed our experiences with staged urethroplasty strategies to repair the penis of failed hypospadias.<\/p>\n\n\n\n

MATERIALS AND METHODS:<\/h4>\n\n\n\n

We retrospectively reviewed 56 consecutives patients following multiple unsuccessful hypospadias repairs from 2010 to 2016. Patients were divided into the following two groups based on their penile conditions and urethroplasty procedures: staged buccal mucosa graft Bracka urethroplasty (group1) and two-stage urethroplasty with additional buccal mucosa graft augmentation of the dorsal urethral plate (group2).<\/p>\n\n\n\n

RESULT:<\/h4>\n\n\n\n

Median follow-ups were 26.5 months (12-59 months) and 28.6 months (14-59 months) in the group 1 and group 2. After the second stage, three patients (11.1%) in group 1 and two patients (6.89%) in group 2 did not have a meatal opening at the top of the glans. Three patients (11.1%) in group 1 and 4 patients (13.79%) in group 2 had urethrocutaneous fistulas. One patient (3.70%) in group 1 and no patients in group 2 had meatal stenosis. Two patients (6.89%) in group 2 and no patients in group 1 had urethral strictures; all patients with strictures were cured using dilations, so follow-up surgeries were not required. No patients in either group had signs of diverticulum or residual chordee. Three patients (11.1%) in group 1 and 4 patients (13.79%) in group 2 needed reoperations.<\/p>\n\n\n\n

CONCLUSION:<\/h4>\n\n\n\n

Failed hypospadias repairs were often due to the underestimation of the penile conditions at the prior surgery. The results indicated that two-staged strategies were preferred for treating complex situations during the intermediate period of our study. Staged buccal mucosa graft Bracka urethroplasty and two-stage urethroplasty with additional buccal mucosa graft augmentation of the dorsal urethral plate severed as reliable approaches in complex hypospadias cases and could improve the overall success rate.<\/p>\n","protected":false},"excerpt":{"rendered":"

Int Urol Nephrol. 2018 Oct;50(10):1795-1800. doi: 10.1007\/s11255-018-1962-2. Epub 2018 Aug 18. Management of failed hypospadias: choosing the right method and achieving optimal results. Wu M1, Chen F2,3, Xie H1, Lv Y1, Huang Y1, Liu Y4, Ye W4. Author information Abstract OBJECTIVE: Because of the complexity of the …<\/p>\n

Hipospadia fracasada, que hacer?<\/span> Leer m\u00e1s \u00bb<\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11,4],"tags":[],"class_list":["post-894","post","type-post","status-publish","format-standard","hentry","category-adulto-uretra","category-bibliografiainteres"],"_links":{"self":[{"href":"https:\/\/cru.aeu.es\/index.php?rest_route=\/wp\/v2\/posts\/894","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cru.aeu.es\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/cru.aeu.es\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/cru.aeu.es\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/cru.aeu.es\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=894"}],"version-history":[{"count":1,"href":"https:\/\/cru.aeu.es\/index.php?rest_route=\/wp\/v2\/posts\/894\/revisions"}],"predecessor-version":[{"id":895,"href":"https:\/\/cru.aeu.es\/index.php?rest_route=\/wp\/v2\/posts\/894\/revisions\/895"}],"wp:attachment":[{"href":"https:\/\/cru.aeu.es\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=894"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cru.aeu.es\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=894"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cru.aeu.es\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=894"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}