The effect of dorsal dartos flaps on complication rates in hypospadias repair: A randomised prospective study. Issue 1 (February 2015)

• Record Type: Journal Article
• Authors: Thomas, David Terence; Karadeniz Cerit, Kivilcim; Yener, Sevim; Kandirici, Aliye; Dagli, Tolga E.; Tugtepe, Halil
• Is Part Of: Journal of pediatric urology. Volume 11:Issue 1(2015)
• Page Start: 23.e1
• Page End: 23.e4
• Publication Date: 2015-02
• Subjects: Pediatric urology -- Periodicals; Urologic Diseases -- Periodicals; Urogenital Diseases -- Periodicals; Urologic Surgical Procedures -- Periodicals; Child; Infant; Urologie pédiatrique -- Périodiques; Appareil urinaire -- Maladies -- Périodiques; Pédiatrie; Urologie; Pediatric urology; Périodique électronique (Descripteur de forme); Ressource Internet (Descripteur de forme); Electronic journals; Periodicals; Electronic journals; 618.926
• DOI: 10.1016/j.jpurol.2014.07.010
• Languages: English
• ISSNs: 1477-5131

Abstract

<abstract xml:lang="en" abstract-type="author" id="abs0010"> <title id="sectitle0010">Summary</title> <sec> <title id="sectitle0015">Aim</title> <p id="abspara0010">This study prospectively analysed the effect of using a dartos flap on the complication rates of TIPU (tubularised incised plate urethroplasty) in hypospadias repair.</p> </sec> <sec> <title id="sectitle0020">Material and methods</title> <p id="abspara0015">Patients having TIPU repair for hypospadias at our university hospital between January 2010 and August 2013 were prospectively divided into two groups. Group 1 had TIPU repair with dorsal dartos flap, whereas group 2 had flapless repair. At the end of the follow-up period (mean 23.3 m, median 20.2), complication rates were compared between two groups.</p> </sec> <sec> <title id="sectitle0025">Results</title> <p id="abspara0020">There were 107 patients in each group. The overall complication rate was 9.3%. The complication rates were 12.1% in group 1 (6 glans dehiscence and 7 fistula) and 6.5% in group 2 (2 glans dehiscence and 5 fistula). The differences between complication rates and fistula were statistically insignificant (<italic>p</italic> = 0.2511 and <italic>p</italic> = 0.7710, respectively).</p> </sec> <sec> <title id="sectitle0030">Conclusion</title> <p id="abspara0025">Our prospective and randomised study found that the use of dartos flaps in hypospadias offers no statistically significant advantage over flapless repair for complication rates.</p> </sec> </abstract>