Single vs. Double Dartos Interposition Flaps in Preventing Urethrocutaneous Fistula after Tubularized Incised Plate Urethroplasty in Primary Distal Hypospadias: A Prospective Randomized Study

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dc.contributor.authorErol, Ali
dc.contributor.authorKayıkçı, Ali
dc.contributor.authorMemik, Ömür
dc.contributor.authorÇam, Kamil
dc.contributor.authorAkman, Yavuz
dc.date.accessioned2020-04-30T23:31:58Z
dc.date.available2020-04-30T23:31:58Z
dc.date.issued2009
dc.departmentDÜ, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.descriptionWOS: 000270779400021en_US
dc.descriptionPubMed: 19829040en_US
dc.description.abstractIntroduction: This prospective study was designed to compare symmetrical overlapping double flaps with a single dartos flap in regard to fistula formation as an adjunct to tubularized incised plate urethroplasty (TIPU). Patients and Methods: 77 consecutive children with primary coronal or subcoronal hypospadias were randomized into 2 groups. A single layer dartos flap was used to cover the anastomotic site in the first group (37 patients). A wider dorsal dartos flap bisectioned in the midline was utilized in the second group of 40 patients. The complication rates were compared. Results: There was no difference between the 2 groups in terms of age, and meatal location. Postoperative median follow-up was 34 months. Urethrocutaneous fistula occurred in 3 patients (8.1%) of the monolayer group. No fistula developed in the second group with double flaps. Conclusions: The current study proposes that the use of double dorsal flaps, although statistically not significant, better prevents fistula formation compared to monolayer dartos flaps following TIPU operation. Copyright (C) 2009 S. Karger AG, Baselen_US
dc.identifier.doi10.1159/000241682en_US
dc.identifier.endpage358en_US
dc.identifier.issn0042-1138
dc.identifier.issn1423-0399
dc.identifier.issue3en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage354en_US
dc.identifier.urihttps://doi.org/10.1159/000241682
dc.identifier.urihttps://hdl.handle.net/20.500.12684/4553
dc.identifier.volume83en_US
dc.identifier.wosWOS:000270779400021en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherKargeren_US
dc.relation.ispartofUrologia Internationalisen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectHypospadiasen_US
dc.subjectUrethraen_US
dc.subjectUrosurgical proceduresen_US
dc.subjectUrinary fistulaen_US
dc.subjectSurgical flapsen_US
dc.titleSingle vs. Double Dartos Interposition Flaps in Preventing Urethrocutaneous Fistula after Tubularized Incised Plate Urethroplasty in Primary Distal Hypospadias: A Prospective Randomized Studyen_US
dc.typeArticleen_US

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