Outcome Of Spongioplasty As A Standalone Covering Layer After Urethroplasty In Distal Hypospadias | ||||
| Benha Medical Journal | ||||
| Articles in Press, Accepted Manuscript, Available Online from 22 August 2023 PDF (889.75 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/bmfj.2023.208387.1812 | ||||
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| Authors | ||||
Ehab Mahroos Oraby 1; Hazem Mohammed Sobeih1; Eslam Wafeek Elbanayousi  2; Mohamed Osama ElShaer1
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| 1General surgery department, faculty of medicine, Benha university, Qalyubiyya, Egypt. | ||||
| 2General surgery department, Benha health insurance hospital, Qalyubiyya, Egypt. | ||||
| Abstract | ||||
| Background: In hypospadias, the urethra opens proximally and ventrally and operative repairs aim to provide a better function as well as good cosmesis. Various tissues were used as a second layer after urethroplasty to improve outcomes. The aim of the current study was to demonstrate the efficacy of the corpus spongiosum and its capability to be the one and only 2nd layer after urethroplasty. Patients and methods: A total number of 30 distal cases were included with an age ranging from 6 – 120 months most of them was coronal/ sub coronal, non-circumcised, with developed proximal urethra and spongiosum and absent ventral curvature. Urethroplasty technique was either tubularized incised plate (TIP) or Thiersch-Duplay and the second layer was always the mobilized then approximated spongiosal pillars. The mean operative time was 87.80 (± 8.56) min and patients were discharged at the same day of surgery with a three month follow up period and monitoring of signs of any post-operative complications. Results: Results at one month showed overall complication rate of 16.7% including spraying of urinary stream, meatal stenosis, Urethro-cutaneous fistula (1 mm in size at the coronal sulcus), skin sloughing and slipped urinary catheter in one case (3.3%) for each of them. No glans dehiscence, urethral diverticulum, residual chordee, symptoms of lower urinary tract infection or major aesthetic issues were encountered. Conclusion: Spongioplasty alone can be used as a second layer if a well-developed, strong spongiosum is available. | ||||
| Keywords | ||||
| Hypospadias; Tubularized incised plate; Spongioplasty | ||||
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