EVALUATION OF DOUBLE-FACED TUBULARIZED PRENUPTIAL FLAP VERSUS DOCKETS PROCEDURE FOR REPAIR OF PENOSCROTAL HYPOSPADIAS REPAIR

R ALI; HA BUMBIA; NH SOOMRO; AH MEMON; MA ADNAN; GM HIRAJ

doi:10.54112/bcsrj.v2023i1.333

Authors

R ALI Department of Urologist, Balochistan Institute of Nephrology and Urology Quetta Balochistan, Pakistan
HA BUMBIA Department of Urologist, Zia-Ud-Din Hospital Karachi, Pakistan
NH SOOMRO Department of Urologist JIMS Hospital, Jacobabad Institute of Medical Science, Pakistan
AH MEMON Department of Urologist, People's University of Medical and Health Sciences for Women Nawabshah, Pakistan
MA ADNAN Department of Plastic Surgeon, Shaheed Mohtarma Benazir Bhutto Institute of Trauma Karachi, Pakistan
GM HIRAJ Department of Urologist, Amina Inayat Medical College Sheikhupura, Pakistan

DOI:

https://doi.org/10.54112/bcsrj.v2023i1.333

Keywords:

DOUBLE-FACED, TUBULARIZED, HYPOSPADIAS, PENOSCROTAL

Abstract

This study was designed to compare the outcomes of the double-faced tabularized preputial flap and Dockets procedure for repairing penoscrotal hypospadias. A retrospective analysis was conducted on 200 patients who underwent either a double-faced tubularized preputial flap or Dockets procedure for penoscrotal hypospadias repair between 2018 and 2022. These patients were partitioned into two gatherings given the careful method utilized: Group A (twofold confronted tubularized preputial fold) and Group B (Duckett strategy). Data was collected from 200 patients and divided into two groups. The success rates were similar between the two groups. In the double-faced tubularized preputial flap group, 94% of patients achieved successful outcomes. Similarly, 92% of patients achieved successful outcomes in the Duckett procedure group. The mean operative time in the double-faced tubularized preputial flap group was 107 minutes, whereas it was 132 minutes in the Duckett procedure group (p < 0.05). Both double-faced tubularized preputial flap and Dockets procedure are viable options for the repair of penoscrotal hypospadias. However, the double-faced tubularized preputial flap has a shorter operative time and a lower incidence of urethral strictures, while the Dockets procedure has a higher incidence of complications related to the scrotal skin flap. The choice of technique should be based on individual patient characteristics and surgeon preference.

Downloads

Download data is not yet available.

References

Wang, C., Zhang, ZC., Zhang, DY. et al. A new modified Duckett urethroplasty for repair of proximal hypospadias with severe chordee: outcomes of 133 patients. BMC Urol 22, 47 (2022). https://doi.org/10.1186/s12894-022-00993-x

Nguyen S, Durbin-Johnson B, Kurzrock EA. Reoperation after hypospadias repair: long-term analysis. J Urol. 2021;205(6):1778–84.

Ozcan R, Emre S, Kendigelen P, et al. Results of a two-stage technique for treatment of proximal hypospadias with severe curvature: creation of a urethral plate using a vascularized preputial island flap. Urol J. 2016;13(2):2629–34.

Shahin, Mohamed, et al. "Evaluation of Double-Faced Tubularized Preputial Flap versus Duckett'S Procedure for Repair of Penoscrotal Hypospadias with Significant Penile Curvature: A Comparative Study." Advances in Urology, vol. 2022, 2022, https://doi.org/10.1155/2022/6996933.

Daboos, Mohammad; Helal, Ahmed Abdelghaffar; Salama, Ahmed (2020). Five years' experience of double faced tubularized preputial flap for penoscrotal hypospadias repair in pediatrics. Journal of Pediatric Urology, (), S1477513120304484–. doi:10.1016/j.jpurol.2020.07.037

Singal A. K., Dubey M., Jain V. Transverse preputial onlay island flap urethroplasty for single-stage correction of proximal hypospadias. World Journal of Urology . 2016;34(7):1019–1024. doi: 10.1007/s00345-015-1686-1.

Elemam A. Sami mahjoub taha & mohamed daffalla A gismalla transverse ventral island preputial tube versus double face preputial tube in the repair of penoscrotal hypospadias: does the dissection of the tube from dorsal preputial skin affect the outcome of repair? Global Journal of Medical Research: I Surgeries and Cardiovascular System . 2017;17

Daboos M., Helal A. A., Salama A. ‘Five years’ experience of double faced tubularized preputial flap for penoscrotal hypospadias repair in pediatrics. Journal of Pediatric Urology . 2020;16(5):673.e1–673.e7. doi: 10.1016/j.jpurol.2020.07.037

Liu M. M., Holland A. J., Cass D. T. Assessment of postoperative outcomes of hypospadias repair with validated questionnaires. Journal of Pediatric Surgery . 2015;50(12):2071–2074. doi: 10.1016/j.jpedsurg.2015.08.047.

Andersson M., Sjöström S., Doroszkiewicz M., et al. Urological results and patient satisfaction in adolescents after surgery for proximal hypospadias in childhood. Journal of Pediatric Urology . 2020;16

Daboos M, Hefney K, Abdelhafez Mahmoud M, et al. Evaluation of double faced transverse preputial (onlay) island flap for hypospadias repair in pediatrics: a randomized controlled study. International Urology and Nephrology. 2022 Jul;54(7):1471-1477. DOI: 10.1007/s11255-022-03217-1. PMID: 35462