Eriskin yas hipospadias onariminda tubularized-incised plate urethroplasty yönteminin etkinligi.

Abstract

GIRIS ve AMAÇ: Biz bu çalismada hipospadiasi olan eriskin hastalarda Tubularized-incised plate urethroplasty onariminin etkinligini ve yapilabilirligini degerlendirmeyi amaçladik. YÖNTEM ve GEREÇLER: Mart 2013 ve Subat 2016 tarihleri arasinda primer hipospadias tanisi ile tubularized-incised plate urethroplasty onarimi yapilan 12 eriskin hasta çalismaya dâhil edildi. Ortalama hasta yasi, eksternal mea yerlesimi, penil egrilik varligi ile ortalama operasyon süresi, cerrahi komplikasyonlar, üretral kateter çikarilma zamani ve hastanede kalis süreleri geriye dönük olarak analiz edildi. Hastalarin tamamina ameliyat sonrasi 6. ayda üroflowmetri yapildi. Cerrahi basari penis ucunda stenotik olmayan yeni üretranin varligi ve üroflowmetride azami idrar akisinin >20 mL/sn olmasi olarak belirlendi. BULGULAR: Ortalama hasta yasi 22.1 yil idi. Ortalama operasyon süresi, hastanede kalis süresi ve üretral katater çikarilma zamani sirasiyla 105 dakika, 3 ve 8,16 gün olarak belirlendi. 2 hastada hafif penis egriligi izlendi. Erken dönemde her hangi bir komplikasyon izlenmedi. Ortalama 19 aylik takip döneminde bir hastada üretrokutanöz fistül gelisti. Cerrahi basari %91,6 olarak belirlendi. Ameliyat sonrasi yapilan üroflowmetride fistül gelisen hasta disindaki bütün hastalarda azami idrar akis hizi >20 mL/sn idi. TARTISMA ve SONUÇ: Hipospadiasi olan eriskin hastalarda tubularized-incised plate urethroplasty onarimi, kabul edilebilir kozmetik ve fonksiyonel sonuçlar ile etkin ve uygulanabilir bir yöntemdir.Türkçe Kisa Baslik: Eriskin hipospadiasta TIPU onarimi.

INTRODUCTION: We aim to evaluate efficacy and feasibility of tubularized-incised plate urethroplasty repair in adult patients with hypospadiasMETHODS: Between March 2013 and February 2016, 12 adult patients with primary hypospadias who underwent tubularized-incised plate urethroplasty repair were included in this study. The mean age of patients, location of urethra, existence of penile chordee, and the mean operation time, operative complications, urethral catheter removal time and length of hospital stay were analyzed retrospectively. All patients received uroflowmetry at postoperative 6th months. Surgical success was determined as a good cosmetic appearance with non-stenotic vertical meatus at tip of the penis and a uroflowmetry with a maximum urinary flow rate > 20 mL/sc.RESULTS: The mean patient age was 22.1 years. The mean operation time, length of hospital stay and urethral catheter removal time were 105 minutes, 3 and 8,16 days, respectively. Two patients have mild penile chordee. No early post-operative complication has occurred. The urethocutaneous fistula was observed in one patient at the mean follow up of 19 months. Surgical success was determined as %91,6. Mean Q max on post-operative uroflowmetry was measured as >20 mL/sc in all patients except one who have urethrocutaneous fistula formation. DISCUSSION AND CONCLUSION: Tubularized-incised plate urethroplasty repair seems as an effective and feasible treatment in adult hypospadias patients with acceptable cosmetic and functional result.Ingilizce Kisa Baslik: TIPU repair in adult hypospadias.