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1. Biomedical articles (top 50; 2010 to 2015)
1. Wang MH: Surgical management of meatal stenosis with meatoplasty. J Vis Exp; 2010;(45)
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Surgical management of meatal stenosis with meatoplasty.
  • Meatal stenosis is a common urologic complication after circumcision.
  • Children present to their primary care physicians with complaints of deviated urinary stream, difficult-to-aim, painful urination, and urinary frequency.
  • Clinical exam reveals a pinpoint meatus and if the child is asked to urinate, he will usually have an upward, thin, occasionally forceful urinary stream with incomplete bladder emptying.
  • The mainstay of management is meatoplasty (reconstruction of the distal urethra /meatus).
  • [MeSH-major] Urethral Stricture / surgery. Urologic Surgical Procedures, Male / methods

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  • [Cites] Urology. 2000 Feb;55(2):272-6 [10688093.001]
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  • (PMID = 21178957.001).
  • [ISSN] 1940-087X
  • [Journal-full-title] Journal of visualized experiments : JoVE
  • [ISO-abbreviation] J Vis Exp
  • [Language] eng
  • [Publication-type] Journal Article; Video-Audio Media
  • [Publication-country] United States
  • [Other-IDs] NLM/ PMC3159600
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2. Dhua AK, Aggarwal SK, Sinha S, Ratan SK: Soft tissue covers in hypospadias surgery: Is tunica vaginalis better than dartos flap? J Indian Assoc Pediatr Surg; 2012 Jan;17(1):16-9
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • RESULTS: No fistula, skin necrosis, meatal stenosis, urethral stricture.
  • There was no meatal stenosis/urethral stricture.

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  • (PMID = 22279358.001).
  • [ISSN] 1998-3891
  • [Journal-full-title] Journal of Indian Association of Pediatric Surgeons
  • [ISO-abbreviation] J Indian Assoc Pediatr Surg
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] India
  • [Other-IDs] NLM/ PMC3263032
  • [Keywords] NOTNLM ; Dartos fascia / hypospadias / tunica vaginalis flap / urethrocutaneous fistula
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3. Bae SH, Lee JN, Kim HT, Chung SK: Urethroplasty by use of turnover flaps (modified mathieu procedure) for distal hypospadias repair in adolescents: comparison with the tubularized incised plate procedure. Korean J Urol; 2014 Nov;55(11):750-5
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • The turnover flap procedure was performed with a proximal, ventral penile flap that was turned over to cover the urethral plate.
  • There were no significant differences in perioperative outcomes between the groups, including mean operative time, duration of hospital stay, and urethral catheterization.
  • The number of patients with at least one complication, including wound dehiscence, urethrocutaneous fistula, meatal stenosis, and urethral stricture, was lower in the turnover flap group (1/13, 7.7%) than in the TIP group (11/25, 44%, p=0.030).
  • The incidence of meatal stenosis was lower in the turnover flap group (0/12, 0%) than in the TIP group (6/25, 24%).

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  • [Cites] BJU Int. 2000 Dec;86(9):1050-3 [11119100.001]
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  • (PMID = 25405018.001).
  • [ISSN] 2005-6745
  • [Journal-full-title] Korean journal of urology
  • [ISO-abbreviation] Korean J Urol
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] Korea (South)
  • [Other-IDs] NLM/ PMC4231153
  • [Keywords] NOTNLM ; Adolescent / Complications / Hypospadias
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4. Baillargeon E, Duan K, Brzezinski A, Jednak R, El-Sherbiny M: The role of preoperative prophylactic antibiotics in hypospadias repair. Can Urol Assoc J; 2014 Jul;8(7-8):236-40
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • INTRODUCTION: We sought to determine whether the use of preoperative antibiotics is effective in reducing postoperative wound infections and urinary tract infections (UTI) in hypospadias repair.
  • Secondary outcomes included the need for reoperation of hypospadias due to urethrocutaneous fistula, meatal stenosis, urethral stricture and wound dehiscence.

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  • (PMID = 25210545.001).
  • [ISSN] 1911-6470
  • [Journal-full-title] Canadian Urological Association journal = Journal de l'Association des urologues du Canada
  • [ISO-abbreviation] Can Urol Assoc J
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] Canada
  • [Other-IDs] NLM/ PMC4137006
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5. Freeman AI: Wedge meatoplasty as a treatment for stricture of the urethral meatus in a cat. J Feline Med Surg; 2012 Jun;14(6):428-31
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Wedge meatoplasty as a treatment for stricture of the urethral meatus in a cat.
  • A three-and-a-half-year-old male neutered Siamese cat presented with idiopathic feline lower urinary tract inflammation and dysuria, which appeared to be caused by stricture of the urethral meatus.
  • To my knowledge, this is the first report of meatoplasty as a treatment for stricture of the urethral meatus in a cat.
  • [MeSH-major] Cat Diseases / surgery. Urethral Stricture / veterinary. Urologic Surgical Procedures, Male / veterinary

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  • (PMID = 22403415.001).
  • [ISSN] 1532-2750
  • [Journal-full-title] Journal of feline medicine and surgery
  • [ISO-abbreviation] J. Feline Med. Surg.
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] England
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6. Cooper IF, Siadaty MS: 'Anatomical Abnormalities' associated with 'Meatus': Top Publications. BioMedLib Review; AnatomicalAbnormality;Meatus:705986376. ISSN: 2331-5717. 2014/11/18
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  • [Title] 'Anatomical Abnormalities' associated with 'Meatus': Top Publications.
  • [Transliterated title]
  • Background: There are articles published each month which present 'Anatomical Abnormality' for 'meatus'.
  • Finding such articles is important for researchers, clinicians, and patients.
  • However these articles are spread across thousands of journals, and there are many types of 'Anatomical Abnormality'.
  • This makes searching and locating the relevant publications a challenge.
  • We have used BioMedLib's semantic search technology to address the issue, and gathered all the pertinent publications in this review article.
  • Methods: We categorized the publications we found into two groups.
  • We used the strength of textual-association to separate the groups.
  • In group one there are publications with the strongest evidence of association. We focused finding the most relevant publications pertinent to our goal, rather than combining them into a conclusion section. Such textual synthesis will be the focus of our next project.
  • Results: Group one includes 21 publications, and group two 1676 publications.
  • Here are the top 10.
  • Treiyer A et al: [Treatment of urethral meatus stenosis due to Balanitis xerotic obliterans. Long term results using the meatoplasty of Malone].
  • Serrano Pascual A: [Editorial comment on "Diagnostic and therapeutic ureteroscopy: is dilatation of ureteral meatus always necessary?"].
  • Ambo T et al: [Ureteral polyp prolapsing from the external urethral meatus: report of a case].
  • Freeman AI: Wedge meatoplasty as a treatment for stricture of the urethral meatus in a cat.
  • De Sy WA: [Stricture of the urethral meatus and the navicular fossa].
  • Penton J et al: Primary syphilis of the urethral meatus complicated by urethral stricture.
  • Armenakas NA et al: Reconstruction of resistant strictures of the fossa navicularis and meatus.
  • Kropp W et al: [Pedicled penis skin flap for unilateral correction of extensive urethral strictures including meatus reconstruction].
  • Onol SY et al: Reconstruction of strictures of the fossa navicularis and meatus with transverse island fasciocutaneous penile flap.
  • Van Zele T et al: Detection of enterotoxin DNA in Staphylococcus aureus strains obtained from the middle meatus in controls and nasal polyp patients.

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  • [Copyright] Copyright 2014 Siadaty and Cooper; licensee BioMedLib LLC.
  • (UID = 705986376.001).
  • [ISSN] 2331-5717
  • [Journal-full-title] BioMedLib Review
  • [Language] eng
  • [Publication-type] Review
  • [Publication-country] UNITED STATES
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7. Treiyer A, Anheuser P, Reisch B, Steffens J: [Treatment of urethral meatus stenosis due to Balanitis xerotic obliterans. Long term results using the meatoplasty of Malone]. Actas Urol Esp; 2011 Sep;35(8):494-8
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] [Treatment of urethral meatus stenosis due to Balanitis xerotic obliterans. Long term results using the meatoplasty of Malone].
  • [Transliterated title] Tratamiento de la estrechez del meato uretral por balanitis xerótica obliterante: resultados a largo plazo empleando meatoplastia de Malone.
  • OBJECTIVE: To present our experience in the treatment of severe stenosis of the external urinary meatus in male children and adults with balanitis xerotic obliterans.
  • The surgical procedure consisted in making a small ventral incision of the urethral meatus with an extensive dorsal meatotomy, correcting the esthetic defect of the gland with an inverted V-shaped relieving incision.
  • RESULTS: No post-surgical complications or recurrences of the urethral stenosis were recorded.
  • CONCLUSION: The meatoplasty of Malone is a good alternative for the treatment of urethral meatal stenosis.
  • It avoids creating a hypospadiac meatus and achieves good postoperative results.
  • [MeSH-major] Balanitis Xerotica Obliterans / complications. Urethral Stricture / etiology. Urethral Stricture / surgery

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  • [Copyright] Copyright © 2011 AEU. Published by Elsevier Espana. All rights reserved.
  • (PMID = 21514696.001).
  • [ISSN] 1699-7980
  • [Journal-full-title] Actas urologicas españolas
  • [ISO-abbreviation] Actas Urol Esp
  • [Language] spa
  • [Publication-type] English Abstract; Journal Article
  • [Publication-country] Spain
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8. Crook JM, Haie-Meder C, Demanes DJ, Mazeron JJ, Martinez AA, Rivard MJ: American Brachytherapy Society-Groupe Européen de Curiethérapie-European Society of Therapeutic Radiation Oncology (ABS-GEC-ESTRO) consensus statement for penile brachytherapy. Brachytherapy; 2013 May-Jun;12(3):191-8
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • Chief morbidities remain stenosis of the urethral meatus and soft tissue ulceration at the primary site.

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  • [Copyright] Copyright © 2013 American Brachytherapy Society. Published by Elsevier Inc. All rights reserved.
  • (PMID = 23453681.001).
  • [ISSN] 1873-1449
  • [Journal-full-title] Brachytherapy
  • [ISO-abbreviation] Brachytherapy
  • [Language] eng
  • [Publication-type] Journal Article; Review
  • [Publication-country] United States
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9. Anheuser P, Schmidt S, Steffens JA: [Meatal stenosis. Mundane problem or surgical challenge?]. Urologe A; 2010 Jun;49(6):714, 716-9
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] [Meatal stenosis. Mundane problem or surgical challenge?].
  • [Transliterated title] Die Meatusstenose: Banales Problem oder operative Herausforderung?
  • There is no common pathology in strictures of the external urinary meatus in men and women.
  • Successful therapy depends on the exact evaluation and classification of the stricture.
  • [MeSH-major] Urethral Stricture / surgery
  • [MeSH-minor] Adult. Aged. Child. Circumcision, Male. Dilatation. Female. Humans. Hypospadias / surgery. Lichen Sclerosus et Atrophicus / complications. Lichen Sclerosus et Atrophicus / diagnosis. Lichen Sclerosus et Atrophicus / surgery. Male. Middle Aged. Postoperative Complications / classification. Postoperative Complications / diagnosis. Postoperative Complications / etiology. Postoperative Complications / surgery. Recurrence. Surgical Flaps. Suture Techniques. Treatment Outcome. Urethra / surgery

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  • (PMID = 20544333.001).
  • [ISSN] 1433-0563
  • [Journal-full-title] Der Urologe. Ausg. A
  • [ISO-abbreviation] Urologe A
  • [Language] ger
  • [Publication-type] English Abstract; Journal Article
  • [Publication-country] Germany
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10. Ghosh S, Kumar M, Kumari P, Gadpayle AK: Acquired urethral meatal stenosis: a rare sequel of an aggressive form of Behçet's disease. BMJ Case Rep; 2013;2013
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Acquired urethral meatal stenosis: a rare sequel of an aggressive form of Behçet's disease.
  • We hereby report a case of rapidly evolving and aggressive form of BD in a young man presenting with extensive ulcerative lesions in orogenital region leading to obstructive uropathy resulting in acquired urethral meatal stenosis due to inflammatory activity.
  • [MeSH-major] Behcet Syndrome / complications. Urethral Stricture / etiology

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  • (PMID = 23632187.001).
  • [ISSN] 1757-790X
  • [Journal-full-title] BMJ case reports
  • [ISO-abbreviation] BMJ Case Rep
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] England
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11. Zeng A, Qiao Q, Zhao R, Song K, Long X: Anterolateral thigh flap-based reconstruction for oncologic vulvar defects. Plast Reconstr Surg; 2011 May;127(5):1939-45
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • One patient developed stricture of the urethral meatus and another had regional metastasis.

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  • (PMID = 21532422.001).
  • [ISSN] 1529-4242
  • [Journal-full-title] Plastic and reconstructive surgery
  • [ISO-abbreviation] Plast. Reconstr. Surg.
  • [Language] eng
  • [Publication-type] Comparative Study; Journal Article
  • [Publication-country] United States
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12. Soave A, Riechardt S, Engel O, Rink M, Fisch M: [Complications of hypospadias repairs]. Urologe A; 2014 Jul;53(7):1001-5
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • Hypospadias is the most common congenital abnormality of the lower urinary tract affecting one of 300 male newborns.
  • Currently, tubularized incised plate and meatal advancement and glansplasty integrated repair are the preferred techniques for distal hypospadias, whereas two-staged procedures are most frequently used in proximal forms.
  • The most frequent complications of hypospadias repairs include urethrocutaneous fistulas, meatal stenosis, and urethral strictures.

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  • (PMID = 25023236.001).
  • [ISSN] 1433-0563
  • [Journal-full-title] Der Urologe. Ausg. A
  • [ISO-abbreviation] Urologe A
  • [Language] ger
  • [Publication-type] English Abstract; Journal Article
  • [Publication-country] Germany
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13. Steffens JA, Anheuser P, Reisch B, Treiyer AE: [Lichen sclerosus in conjunction with meatal stenosis. Prospective 4-year report on meatotomy according to Malone]. Urologe A; 2010 Mar;49(3):401-5
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] [Lichen sclerosus in conjunction with meatal stenosis. Prospective 4-year report on meatotomy according to Malone].
  • [Transliterated title] Lichen sclerosus mit Meatusstenose. Prospektiver 4-Jahres-Bericht über die plastische Meatotomie nach Malone.
  • A novel technique is reported to relieve stenosis of the external urinary meatus in men and boys with lichen sclerosus.
  • The technique relieves stenosis of the external urinary meatus in the short term.It is rapid and easy to perform, avoids a hypospadiac meatus and provides good results.

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  • (PMID = 20063083.001).
  • [ISSN] 1433-0563
  • [Journal-full-title] Der Urologe. Ausg. A
  • [ISO-abbreviation] Urologe A
  • [Language] ger
  • [Publication-type] Clinical Trial; English Abstract; Journal Article
  • [Publication-country] Germany
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14. Brink P, Schumacher J: Hypospadias in a Friesian gelding. Vet Surg; 2011 Jan;40(1):120-3
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • Subsequent urethral meatal stenosis was treated by revision.
  • Partial phallectomy and subsequent revision after meatal stenosis resolved urine direction, flow and abnormal behavior.
  • CONCLUSIONS: Abnormalities of the urinary tract associated with hypospadias can result in urine-induced, contact dermatitis and distress during urination, but these complications can be resolved by partial phallectomy.

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  • [Copyright] © Copyright 2010 by The American College of Veterinary Surgeons.
  • (PMID = 21198681.001).
  • [ISSN] 1532-950X
  • [Journal-full-title] Veterinary surgery : VS
  • [ISO-abbreviation] Vet Surg
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] United States
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15. Macedo A Jr, Liguori R, Ottoni SL, Garrone G, Damazio E, Mattos RM, Ortiz V: Long-term results with a one-stage complex primary hypospadias repair strategy (the three-in-one technique). J Pediatr Urol; 2011 Jun;7(3):299-304
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • PURPOSE: Complex primary hypospadias repair that warrants urethral plate division is treated mostly in two steps, not necessarily in two surgeries.
  • Our aim was to review long-term results with a one-stage strategy based on reconstruction of the urethral plate with buccal mucosa graft and onlay transverse preputial flap anastomosis protected by a tunica vaginalis flap (the three-in-one concept).
  • We investigated parameters such as UTI occurrence, fistula, residual curvature, meatal stenosis, urethral diverticula, dehiscence, orchitis and parental perception.
  • RESULTS: Surgical complications occurred in 13 patients (37%): 4 meatal stenosis, 4 diverticula, 5 fistulae and 2 residual penile curvatures (total 42%).
  • Meatal dilatation was successful in 2 cases, reflected in fistula resolution.
  • We recognize that meatal problems are mostly associated with fistulae and diverticula; therefore, we recommend a final acceptable proximal glandar opening that will not compromise the neourethra.

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  • [Copyright] Copyright © 2011 Journal of Pediatric Urology Company. Published by Elsevier Ltd. All rights reserved.
  • (PMID = 21527215.001).
  • [ISSN] 1873-4898
  • [Journal-full-title] Journal of pediatric urology
  • [ISO-abbreviation] J Pediatr Urol
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] England
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16. Homer L, Buchanan KJ, Nasr B, Losty PD, Corbett HJ: Meatal stenosis in boys following circumcision for lichen sclerosus (balanitis xerotica obliterans). J Urol; 2014 Dec;192(6):1784-8
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Meatal stenosis in boys following circumcision for lichen sclerosus (balanitis xerotica obliterans).
  • PURPOSE: Of boys circumcised for penile lichen sclerosus, ie balanitis xerotica obliterans, 7% to 19% require late surgery for meatal stenosis.
  • Boys with lichen sclerosus were more likely to have the meatus described as abnormal (57 vs 4) and to have undergone a meatal procedure at circumcision (55 vs 2) or a meatal operation at a later date (49 vs 3, all p <0.05).
  • Boys with lichen sclerosus requiring later meatal procedures (meatal dilation in 25, meatotomy in 24) rarely underwent a meatal procedure at circumcision (4 of 49) and were less likely to have received preoperative topical steroids than boys not needing a later meatal procedure (2 of 49 vs 49 of 151, p <0.05).
  • CONCLUSIONS: After circumcision for lichen sclerosus up to 1 in 5 boys requires a subsequent operation for meatal pathology.
  • Pre-circumcision topical steroids may help decrease the rate of later meatal pathology.
  • [MeSH-major] Balanitis Xerotica Obliterans / surgery. Circumcision, Male / adverse effects. Lichen Sclerosus et Atrophicus / surgery. Urethral Stricture / etiology

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  • [Copyright] Copyright © 2014 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.
  • (PMID = 24992332.001).
  • [ISSN] 1527-3792
  • [Journal-full-title] The Journal of urology
  • [ISO-abbreviation] J. Urol.
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] United States
  • [Keywords] NOTNLM ; balanitis xerotica obliterans / child / circumcision / lichen sclerosus et atrophicus / male / urethra
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17. Xu N, Xue XY, Li XD, Wei Y, Zheng QS, Jiang T, Huang JB, Sun XL: Comparative outcomes of the tubularized incised plate and transverse island flap onlay techniques for the repair of proximal hypospadias. Int Urol Nephrol; 2014 Mar;46(3):487-91
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  • A retrospective review of their medical records collected data regarding age at surgery, chordee, dorsal plication, hypospadias site, penoscrotal transposition, bifid scrotum, congenital hernia, undescended testis and any postoperative complications, including fistula, recurrent curvature, dehiscence, diverticulum, meatal stenosis and urethral stricture.
  • [MeSH-major] Hypospadias / surgery. Surgical Flaps. Urethra / surgery

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  • (PMID = 24061766.001).
  • [ISSN] 1573-2584
  • [Journal-full-title] International urology and nephrology
  • [ISO-abbreviation] Int Urol Nephrol
  • [Language] eng
  • [Publication-type] Comparative Study; Journal Article; Research Support, Non-U.S. Gov't
  • [Publication-country] Netherlands
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18. Ritch CR, Murphy AM, Woldu SL, Reiley EA, Hensle TW: Overnight urethral stenting after tubularized incised plate urethroplasty for distal hypospadias. Pediatr Surg Int; 2010 Jun;26(6):639-42
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Overnight urethral stenting after tubularized incised plate urethroplasty for distal hypospadias.
  • OBJECTIVES: The duration of urethral stenting after tubularized incised plate (TIP) urethroplasty for hypospadias varies among surgeons.
  • Patients who had their urethral catheter overnight were included in this analysis.
  • Outcomes analyzed were the rates of: urethrocutaneous fistula, meatal stenosis, urethral stricture and urinary tract infections.
  • Forty-nine patients had overnight urethral stenting with at least 12 months follow-up and were included in the analysis.
  • There were no incidences of meatal stenosis, urinary tract infections or urethral strictures.
  • CONCLUSION: In our experience, overnight urethral stenting for TIP hypospadias repair does not significantly affect the rates of urethrocutaneous fistula, meatal stenosis and urinary tract infections.
  • Patients who have had a primary TIP hypospadias repair may have their urethral catheter removed safely on post-operative day one.
  • [MeSH-major] Hypospadias / surgery. Stents. Urethra / surgery. Urethral Diseases / prevention & control. Urologic Surgical Procedures, Male / adverse effects

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  • (PMID = 20419376.001).
  • [ISSN] 1437-9813
  • [Journal-full-title] Pediatric surgery international
  • [ISO-abbreviation] Pediatr. Surg. Int.
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] Germany
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19. Joudi M, Fathi M, Hiradfar M: Incidence of asymptomatic meatal stenosis in children following neonatal circumcision. J Pediatr Urol; 2011 Oct;7(5):526-8
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  • [Title] Incidence of asymptomatic meatal stenosis in children following neonatal circumcision.
  • OBJECTIVE: To determine the incidence of meatal stenosis after neonatal circumcision.
  • PATIENTS AND METHODS: Male children (5-10 years old) who had been circumcised during the neonatal period and presented at our pediatric clinic for reasons other than urinary complaints were examined and interviewed regarding urination problems.
  • RESULTS: Of the 132 cases, 27 (20.4%) had severe meatal stenosis (diameter < 5 F).
  • CONCLUSION: These results highlight the importance of follow-up genital examination for all male children who have been circumcised during the neonatal period, to detect possible meatal stenosis.
  • [MeSH-major] Circumcision, Male / adverse effects. Urethral Stricture / epidemiology


20. Cimador M, Vallasciani S, Manzoni G, Rigamonti W, De Grazia E, Castagnetti M: Failed hypospadias in paediatric patients. Nat Rev Urol; 2013 Nov;10(11):657-66
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • Risk factors for complications include factors related to the hypospadias (severity of the condition and characteristics of the urethral plate), the patient (age at surgery, endocrine environment, and wound healing impairment), the surgeon (technique selection and surgeon expertise), and the procedure (technical details and postoperative management).
  • The most important factors for preventing complications are surgeon expertise (number of cases treated per year), interposition of a barrier layer between the urethroplasty and the skin, and postoperative urinary drainage.
  • Major complications associated with failed hypospadias include residual curvature, healing complications (preputial dehiscence, glans dehiscence, fistula formation, and urethral breakdown), urethral obstruction (meatal stenosis, urethral stricture, and functional obstruction), urethral diverticula, hairy urethra, and penile skin deficiency.

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  • (PMID = 23917119.001).
  • [ISSN] 1759-4820
  • [Journal-full-title] Nature reviews. Urology
  • [ISO-abbreviation] Nat Rev Urol
  • [Language] eng
  • [Publication-type] Journal Article; Review
  • [Publication-country] England
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21. Sinha RK, Mukherjee S, Kamal MR, Karmakar D: Tuberculosis of the glans penis healing with meatal stenosis. BMJ Case Rep; 2014;2014
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  • [Title] Tuberculosis of the glans penis healing with meatal stenosis.
  • Clinical diagnosis was penile carcinoma and incisional biopsy was performed.
  • Meatal stenosis occurred at 2 months follow-up and was managed with meatotomy.

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  • (PMID = 24501335.001).
  • [ISSN] 1757-790X
  • [Journal-full-title] BMJ case reports
  • [ISO-abbreviation] BMJ Case Rep
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] England
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22. Yang T, Zou Y, Zhang L, Su C, Li Z, Wen Y: Byars two-stage procedure for hypospadias after urethral plate transection. J Pediatr Urol; 2014 Dec;10(6):1133-7
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Byars two-stage procedure for hypospadias after urethral plate transection.
  • Complications, which included fistula, glans dehiscence, meatal stenosis, urethral stricture, diverticulum, recurrent penile curvature and others, were documented and analyzed.
  • Complications included: seven cases of fistula; five glans dehiscence; two urethral strictures, which developed after fistula repair; and one concealed penis.
  • CONCLUSIONS: The Byars two-stage procedure is an option for primary hypospadias when the urethral plate is transected.

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  • [Copyright] Copyright © 2014 Journal of Pediatric Urology Company. Published by Elsevier Ltd. All rights reserved.
  • [CommentIn] J Pediatr Urol. 2014 Dec;10(6):1138 [24962243.001]
  • (PMID = 24931759.001).
  • [ISSN] 1873-4898
  • [Journal-full-title] Journal of pediatric urology
  • [ISO-abbreviation] J Pediatr Urol
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] England
  • [Keywords] NOTNLM ; Hypospadias / Penis / Surgery / Urethroplasty
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23. Gecit I, Isik D, Pirincci N, Bilici S, Gunes M, Canbaz Y, Faruk Kocak O: Kutlay technique for hypospadias repair. Int Urol Nephrol; 2012 Oct;44(5):1311-8
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • The Kutlay technique is a novel technique that is based on the reconstruction of the neourethra with two horizontal meatal-based skin flaps.
  • None of the patients developed neourethral dehiscence, meatal stenosis, urethral stricture, wound infection, penile torsion, hematoma, or persistent or recurrent chordee.
  • The patients were observed to void with a single straight urinary stream in a forward direction.
  • The factors that reduce the risk of fistula are the lack of the superposition of the suture lines of the skin and the urethra, the reconstruction of the urethra with well-vascularized flaps, and the replacement of the neourethra in its appropriate location through the tunnel created in the glans.
  • [MeSH-major] Hypospadias / surgery. Penis / surgery. Postoperative Complications / etiology. Surgical Flaps. Urethra / surgery. Urethral Diseases / etiology
  • [MeSH-minor] Adolescent. Child. Child, Preschool. Cutaneous Fistula / etiology. Humans. Infant. Male. Urinary Fistula / etiology. Urodynamics


24. Xu N, Xue XY, Wei Y, Li XD, Zheng QS, Jiang T, Huang JB: Outcome analysis of tubularized incised plate repair in hypospadias: is a catheter necessary? Urol Int; 2013;90(3):354-7
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  • However, the role of urethral catheter placement in TIP repair remains controversial.
  • In this study, the surgical outcomes of indwelling urethral catheter and non-catheter TIP repairs in boys with hypospadias were compared.
  • A urethral catheter was placed in 103 patients (group A) and non-catheter repair was performed in 151 patients (group B).
  • The complications recorded included wound infection, urinary tract infection, bladder spasm, urinary retention, urinary extravasation, meatal stenosis, urethral stricture, and urethrocutaneous fistula.
  • The rate of bladder spasms (10.7 vs. 0%, p < 0.001) and urinary tract infection (9.7 vs. 3.3%, p = 0.034) was significantly higher for group A than group B.
  • Although the rate of urinary retention was higher in group B than in group A (4.0 vs. 0%), there was no statistically significant difference between the two groups (p = 0.084).
  • Likewise, the incidence of urethrocutaneous fistula and meatal stenosis was not significantly different.
  • [MeSH-major] Hypospadias / surgery. Penis / surgery. Urethra / surgery. Urinary Catheterization / instrumentation. Urinary Catheters. Urologic Surgical Procedures, Male

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  • [Copyright] Copyright © 2013 S. Karger AG, Basel.
  • (PMID = 23548842.001).
  • [ISSN] 1423-0399
  • [Journal-full-title] Urologia internationalis
  • [ISO-abbreviation] Urol. Int.
  • [Language] eng
  • [Publication-type] Journal Article; Research Support, Non-U.S. Gov't
  • [Publication-country] Switzerland
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25. Cubillos J, George A, Gitlin J, Palmer LS: Tailored sutureless meatoplasty: a new technique for correcting meatal stenosis. J Pediatr Urol; 2012 Feb;8(1):92-6
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Tailored sutureless meatoplasty: a new technique for correcting meatal stenosis.
  • MATERIALS AND METHODS: A retrospective chart review was performed of patients who presented with primary meatal stenosis in 2007-2009.
  • [MeSH-major] Circumcision, Male / adverse effects. Reconstructive Surgical Procedures / methods. Urethral Obstruction / surgery

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  • [Copyright] Copyright © 2010 Journal of Pediatric Urology Company. Published by Elsevier Ltd. All rights reserved.
  • (PMID = 20980203.001).
  • [ISSN] 1873-4898
  • [Journal-full-title] Journal of pediatric urology
  • [ISO-abbreviation] J Pediatr Urol
  • [Language] eng
  • [Publication-type] Comparative Study; Journal Article
  • [Publication-country] England
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26. Beraldo S, Neubeck K, Von Friderici E, Steinmüller L: The prophylactic use of a ureteral stent in laparoscopic colorectal surgery. Scand J Surg; 2013;102(2):87-9
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • In all, 13 (26%) male patients had a benign prostatic adenoma, and 3 (6%) male patients had a significant stenosis of the urethral meatus and required bouginage.
  • Complications due to ureteral stent insertion were transient hematuria in 11 (12.3%) cases, postoperative urinary tract infections in 2 (2.2%) cases, and hydronephrosis in 2 (2.2%) cases.

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  • (PMID = 23820682.001).
  • [ISSN] 1799-7267
  • [Journal-full-title] Scandinavian journal of surgery : SJS : official organ for the Finnish Surgical Society and the Scandinavian Surgical Society
  • [ISO-abbreviation] Scand J Surg
  • [Language] eng
  • [Publication-type] Evaluation Studies; Journal Article
  • [Publication-country] Finland
  • [Keywords] NOTNLM ; Laparoscopic colorectal surgery / complications / costs / effectiveness / elective procedures / prophylaxis / ureteral stents
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27. Karakus SC, Koku N, Parmaksiz ME, Ertaskin I, Kilincaslan H, Deliaga H: The effect of urethral catheter size on meatal stenosis formation in children undergoing tubularized incised plate urethroplasty. Urol J; 2013;10(4):1095-8
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] The effect of urethral catheter size on meatal stenosis formation in children undergoing tubularized incised plate urethroplasty.
  • PURPOSE: Meatal stenosis is still a common problem in tubularized incised plate urethroplasty.
  • In this study, we aimed to seek for a relationship between the size of urethral catheter and meatal stenosis formation in children undergoing tubularized incised plate urethroplasty.
  • RESULTS: There were no significant differences between the groups according to their age, location of urethral meatus, dehiscence and urethrocutaneous fistula formation.
  • Meatal stenosis formation in group B was markedly higher than that in group A.
  • Number of meatal dilatation was higher in group B compared to group A.
  • CONCLUSION: We suggest that the tubularization of urethral plate over a small-sized (6 Fr) catheter, regardless of the age of the patients, prevents meatal stenosis by reducing foreign body reaction and pressure injury and by hindering secondary healing.
  • [MeSH-major] Postoperative Complications / etiology. Surgically-Created Structures / adverse effects. Urethra / surgery. Urethral Stricture / etiology. Urinary Catheters / adverse effects
  • [MeSH-minor] Child. Child, Preschool. Cutaneous Fistula / etiology. Dilatation. Humans. Hypospadias / surgery. Infant. Male. Retrospective Studies. Urinary Fistula / etiology

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  • (PMID = 24469656.001).
  • [ISSN] 1735-546X
  • [Journal-full-title] Urology journal
  • [ISO-abbreviation] Urol J
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] Iran
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28. Boşoteanu M, Boşoteanu C, Deacu M, Aşchie M, Bordei P: Etio-pathogenic and morphological correlations in congenital hydronephrosis. Rom J Morphol Embryol; 2011;52(1):129-36
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • Hydronephrosis, "distension in varying degrees of pelvis and calyces, accompanied by progressive atrophy of renal parenchyma due to obstruction in urinary flow", is an apparently simple reno-urinary disease, but, in reality, by association of its own characters with those conferred by causative lesions, becomes of a significant complexity.
  • The etiology of hydronephrosis in analyzed cases was characterized by heterogeneity: polar inferior artery, horseshoe kidney, extrarenal pelvis, transverse valves of pelviureteral junction (PUJ), adhesion of ureter to PUJ, intrinsic stenosis of PUJ, vesico-ureteral reflux, posterior urethral valves, stenosis of urethral meatus.
  • The way of intervention of urinary obstruction and the uni- or bilateral character of damage were definitory for the macroscopical appearance of the hydronephrotic kidney, renal pelvis demonstrating its role of expansion room for kidney protection.
  • [MeSH-minor] Adolescent. Adult. Child. Female. Humans. Infant. Kidney / abnormalities. Kidney / pathology. Kidney Pelvis / pathology. Male. Nephrectomy. Urethra / pathology. Vesico-Ureteral Reflux / pathology

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  • (PMID = 21424044.001).
  • [ISSN] 1220-0522
  • [Journal-full-title] Romanian journal of morphology and embryology = Revue roumaine de morphologie et embryologie
  • [ISO-abbreviation] Rom J Morphol Embryol
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] Romania
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29. Nerli R, Santhoshi P, Guntaka A, Patil S, Hiremath M: Modified Koyanagi's procedure for proximal hypospadias: our experience. Int J Urol; 2010 Mar;17(3):294-6
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • One child developed breakdown of the suture line, three other children developed small urethrocutaneous fistula needing closure and one child had post-operative meatal stenosis.
  • [MeSH-major] Hypospadias / surgery. Penis / surgery. Reconstructive Surgical Procedures / methods. Urethra / surgery. Urologic Surgical Procedures, Male / methods

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  • (PMID = 20409225.001).
  • [ISSN] 1442-2042
  • [Journal-full-title] International journal of urology : official journal of the Japanese Urological Association
  • [ISO-abbreviation] Int. J. Urol.
  • [Language] eng
  • [Publication-type] Clinical Trial; Journal Article
  • [Publication-country] Australia
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30. Pandey A, Dican R, Beier J, Keller H: Buccal mucosal graft in reconstructive urology: uses beyond urethral stricture. Int J Urol; 2014 Jul;21(7):732-4
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Buccal mucosal graft in reconstructive urology: uses beyond urethral stricture.
  • The use of buccal mucosal grafts for the reconstruction of urethral strictures is an established procedure.
  • We report here six consecutive patients who received a buccal mucosal graft for ureteral strictures, glans reconstruction and stoma stenosis.
  • The buccal mucosal graft showed excellent functional results for the ureteral strictures and stenosis from ureterocutaneostomy.
  • For glans reconstructions, the buccal mucosal grafts delivered excellent cosmetic and functional results without causing meatal stenosis.
  • We conclude the buccal mucosal graft can be used in reconstructive surgery beyond the reconstruction of urethral strictures.
  • [MeSH-major] Lichen Sclerosus et Atrophicus / surgery. Mouth Mucosa / transplantation. Reconstructive Surgical Procedures / methods. Urethral Stricture / surgery. Urologic Surgical Procedures, Male / methods

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  • [CommentIn] Int J Urol. 2014 Jul;21(7):735 [25110794.001]
  • (PMID = 25110793.001).
  • [ISSN] 1442-2042
  • [Journal-full-title] International journal of urology : official journal of the Japanese Urological Association
  • [ISO-abbreviation] Int. J. Urol.
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] Australia
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31. Nerli RB, Guntaka AK, Patil RA, Patne PB: Dorsal inlay inner preputial graft for primary hypospadias repair. Afr J Paediatr Surg; 2014 Apr-Jun;11(2):105-8
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • The key step is midline incision of the urethral plate, which widens a narrow plate and converts a flat into a deep plate groove, ensuring a vertical, slit neomeatus and a normal-calibre neourethra.
  • At times in cases of proximal hypospadias, the urethral plate is very narrow and needs to be augmented or substituted for further tubularisation.
  • PATIENTS AND METHODS: Children with proximal hypospadias with a narrow urethral plate formed the study group.
  • Children needing transection of the urethral plate, having undergone circumcision/hypospadias repair previously or having an inadequate prepuce was excluded.
  • RESULTS: Twelve children with a mean age of 48.83 months underwent primary dorsal inlay preputial graft urethroplasty for proximal hypospadias with a very narrow urethral plate.
  • None of the children had meatal stenosis, and none of these 12 children developed urethrocutaneous fistula.
  • It offers a viable, safe, rapid and easy option in the management of proximal hypospadias with a narrow urethral plate.

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  • (PMID = 24841007.001).
  • [ISSN] 0974-5998
  • [Journal-full-title] African journal of paediatric surgery : AJPS
  • [ISO-abbreviation] Afr J Paediatr Surg
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] Nigeria
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32. Lacy JM, Hendrix LN, Grant C, Ziada AM: Distal hypospadias repair using only glans wing mobilization and approximation. Can J Urol; 2014 Apr;21(2):7241-5
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • INTRODUCTION: Since its first description in 1994, tubularized incised plate (TIP) technique has become the most commonly performed hypospadias procedure and involves incision of the urethral plate with subsequent tubularization.
  • In some distal hypospadias cases, mobilization and approximation of glans wings is sufficient to create a normal appearing urethral meatus.
  • CONCLUSIONS: Perceived benefits of this technique include simplicity and rapidity of technique, applicability to glanular, coronal and subcoronal hypospadias, and avoidance of sutures between urethra and glans with potential decrease in meatal stenosis.

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  • (PMID = 24775579.001).
  • [ISSN] 1195-9479
  • [Journal-full-title] The Canadian journal of urology
  • [ISO-abbreviation] Can J Urol
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] Canada
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33. Bush NC, Holzer M, Zhang S, Snodgrass W: Age does not impact risk for urethroplasty complications after tubularized incised plate repair of hypospadias in prepubertal boys. J Pediatr Urol; 2013 Jun;9(3):252-6
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • METHODS: A prospectively maintained database of consecutive patients undergoing tubularized incised plate (TIP) repair was queried for age at surgery, primary or reoperative TIP, meatal location, glansplasty suture, and learning curve.
  • The presence of UC (fistula, dehiscence, stricture, meatal stenosis) was analyzed with logistic regression.
  • Original meatal location was distal in 540 (80.7%), midshaft in 50 (7.5%), and proximal in 79 (11.8%).
  • Reoperative TIP (OR 3.07, 95% CI 1.54-6.13) and meatal location (OR 1.79, 95% CI 1.34-2.40) were the only independent risk factors for UC.
  • [MeSH-major] Hypospadias / surgery. Urethra / surgery. Urologic Surgical Procedures, Male


34. Turial S, Enders J, Engel V, Schier F: Stent-free tubularized incised plate (TIP) repair of distal and mid-shaft hypospadias irrespective of age. Eur J Pediatr Surg; 2011 May;21(3):168-70
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • PURPOSE: Aim of this study was to report our experiences with tubularized incised plate (TIP) repair without placement of a postoperative urethral stent in 41 cases.
  • PATIENTS AND METHODS: Since October 2005, we have performed TIP repair for distal penile hypospadias without using a postoperative urethral stent.
  • A urethral stent is used intraoperatively for the tubularization of the neourethra and is removed at the end of the procedure.
  • There were 2 cases with fistula and one case of meatal stenosis.
  • No urinary retention requiring catheterization was observed, irrespective of age.
  • [MeSH-major] Hypospadias / surgery. Stents. Urethra / surgery

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  • [Copyright] © Georg Thieme Verlag KG Stuttgart · New York.
  • (PMID = 21283957.001).
  • [ISSN] 1439-359X
  • [Journal-full-title] European journal of pediatric surgery : official journal of Austrian Association of Pediatric Surgery ... [et al] = Zeitschrift für Kinderchirurgie
  • [ISO-abbreviation] Eur J Pediatr Surg
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] Germany
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35. Xu YM, Feng C, Sa YL, Fu Q, Zhang J, Xie H: Outcome of 1-stage urethroplasty using oral mucosal grafts for the treatment of urethral strictures associated with genital lichen sclerosus. Urology; 2014 Jan;83(1):232-6
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Outcome of 1-stage urethroplasty using oral mucosal grafts for the treatment of urethral strictures associated with genital lichen sclerosus.
  • OBJECTIVE: To report the outcome of 1-stage urethroplasty using lingual mucosal grafts (LMGs) and buccal mucosal grafts (BMGs) for the treatment of male urethral strictures associated with genital lichen sclerosus (LS).
  • MATERIALS AND METHODS: This was a descriptive, observational retrospective study of male patients with urethral strictures who underwent 1-stage mucosal graft urethroplasty using different substitute materials for reconstructive urethral surgery.
  • Study inclusion criteria were patients with histologically proven LS presenting with urethral strictures.
  • RESULTS: Between January 2003 and December 2011, urethral strictures in 54 patients were considered associated with genital LS according to the inclusion and exclusion criteria, and 36 underwent 1-stage urethroplasty using oral mucosal grafts.
  • The median stricture length was 12.5 ± 1.6 cm (range, 6-18 cm).
  • Postoperative urinary fistula occurred in 1 patient, and meatal stenosis developed in 3 patients.
  • CONCLUSION: Our survey suggests that 1-stage urethroplasty with single or combined LMGs or BMGs may be an effective option to treat urethral stricture associated with LS.
  • [MeSH-major] Genital Diseases, Male / surgery. Lichen Sclerosus et Atrophicus / complications. Mouth Mucosa / transplantation. Urethra / surgery. Urethral Stricture / complications. Urethral Stricture / surgery

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  • [Copyright] Copyright © 2014. Published by Elsevier Inc.
  • [CommentIn] J Urol. 2014 Jun;191(6):1814 [25280297.001]
  • (PMID = 24200196.001).
  • [ISSN] 1527-9995
  • [Journal-full-title] Urology
  • [ISO-abbreviation] Urology
  • [Language] eng
  • [Publication-type] Journal Article; Observational Study
  • [Publication-country] United States
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36. Abdel-Hamid Mohamid El-Hawy M: Minimal modifications could decrease fistula rate during tubularized incised plate procedure in distal hypospadias repair. J Pediatr Urol; 2013 Dec;9(6 Pt A):789-92
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • Patients were monitored prospectively for fistulae, chordee, meatal position, stenosis, and evaluated postoperatively at regular intervals.
  • RESULTS: 362 patients had a good cosmetic appearance with slit-shaped meatus.
  • Urinary streams were of good quality and without fistula in 187 in group 1 and 169 in group 2.
  • Glans dehiscence was seen in 7 (4 in group 1 and 3 in group 2), meatal stenosis and new urethral stricture in 15 (6 in group 1 and 9 in group 2).
  • [MeSH-major] Hypospadias / surgery. Urethral Stricture / surgery. Urinary Fistula / prevention & control. Urologic Surgical Procedures, Male / adverse effects. Urologic Surgical Procedures, Male / methods

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  • [Copyright] Copyright © 2012 Journal of Pediatric Urology Company. Published by Elsevier Ltd. All rights reserved.
  • (PMID = 23122925.001).
  • [ISSN] 1873-4898
  • [Journal-full-title] Journal of pediatric urology
  • [ISO-abbreviation] J Pediatr Urol
  • [Language] eng
  • [Publication-type] Clinical Trial; Comparative Study; Journal Article
  • [Publication-country] England
  • [Keywords] NOTNLM ; Dartos / Distal / Flap / Hypospadias / Spongioplasy / Subepithelial
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37. Elsayed ER, Khalil S, Abd Samad K, Abdalla MM: Evaluation of distally folded onlay flap in repair of distal penile hypospadias. J Pediatr Urol; 2012 Feb;8(1):103-7
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • OBJECTIVE: To evaluate the results of using a distally folded onlay flap in the repair of distal penile hypospadias, with regard to meatal stenosis, urethrocutaneous fistula and esthetic outcome.
  • PATIENTS AND METHODS: This prospective study involved 36 patients with mean age 3.2 years (range 1-4); 18 had a shallow urethral plate, 10 a small glans, and 8 had undergone a previous operation but still had available preputial skin.
  • Starting with penile degloving and then harvesting the transverse island preputial flap provides a flap about 1 cm longer than the urethral plate.
  • Two lateral incisions are made along the urethral plate with no need for dissection deep into the glanular wings.
  • The flap is sutured to the urethral plate, leaving 1 cm distal to the tip of the glans, which is folded back to be sutured to the edges of the glanular wings.
  • RESULTS: There were no cases of meatal stenosis or requirement for urethral dilatation.
  • CONCLUSION: This versatile technique offers satisfactory results regarding meatal stenosis, urethrocutaneous fistula and esthetic outcome.

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  • [Copyright] Copyright © 2010 Journal of Pediatric Urology Company. Published by Elsevier Ltd. All rights reserved.
  • (PMID = 20889383.001).
  • [ISSN] 1873-4898
  • [Journal-full-title] Journal of pediatric urology
  • [ISO-abbreviation] J Pediatr Urol
  • [Language] eng
  • [Publication-type] Evaluation Studies; Journal Article
  • [Publication-country] England
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38. Khan SU, Tewary RK, O'Sullivan TJ: Modified radical mastoidectomy and its complications--12 years' experience. Ear Nose Throat J; 2014 Apr-May;93(4-5):E30-6
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • The most common complication recorded was residual/recurrent cholesteatoma (20 [12.3%]), followed by meatal stenosis (11 [6.7%]).
  • The parameters evaluated were size of the meatus, tympanic membrane appearance, status of the mastoid cavity, height of the facial ridge, and extent of the disease process.

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  • (PMID = 24817239.001).
  • [ISSN] 1942-7522
  • [Journal-full-title] Ear, nose, & throat journal
  • [ISO-abbreviation] Ear Nose Throat J
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] United States
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39. Anwar AZ, Mohamed MA, Hussein A, Shaaban AM: Modified penile disassembly technique for boys with epispadias and those undergoing complete primary repair of exstrophy: long-term outcomes. Int J Urol; 2014 Sep;21(9):936-40
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • A mild degree of penile dorsal tilt occurred in 11.7% of patients, urethrocutanous fistula in 17.6% and meatal stenosis 5.8%.
  • Preservation of the distal urethral plate along with both hemiglans avoids shortening and prevents occurrence of hypospadias.

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  • [Copyright] © 2014 The Japanese Urological Association.
  • [CommentIn] Int J Urol. 2014 Sep;21(9):940 [24912932.001]
  • [CommentIn] Int J Urol. 2014 Sep;21(9):941 [24913700.001]
  • (PMID = 24735099.001).
  • [ISSN] 1442-2042
  • [Journal-full-title] International journal of urology : official journal of the Japanese Urological Association
  • [ISO-abbreviation] Int. J. Urol.
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] Australia
  • [Keywords] NOTNLM ; bladder exstrophy / continence / epispadias / penile / urologic surgical procedures
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40. Ardelt PU, Glaser T, Schoenthaler M, Gerharz EW, Frankenschmidt A: Glandular resection and central embedding in hypospadias repair--a novel modification of the Barcat technique. J Pediatr Surg; 2012 May;47(5):1032-7
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • PURPOSE: Urethrocutaneous fistula and urethral or meatal stricture, to date, remain the commonest complications of hypospadias repair, with increased tissue tension being a major cause of failure.
  • In the group of primary hypospadias repair, urethrocutaneous fistulas were observed in 4%, all requiring surgical revision, and meatal or urethral stricture were observed in 4% of the patients, treated either surgically or by dilatation.
  • A cosmetically impeccable slitlike appearance of the meatus was achieved in 84%, and a cosmetically acceptable oval shape was achieved in 10% of the patients.
  • Both maximum and average urinary flow rates were within the standard ranges for the respective age groups in 93.7% and 96%, respectively.
  • [MeSH-minor] Child. Child, Preschool. Cutaneous Fistula / epidemiology. Cutaneous Fistula / etiology. Follow-Up Studies. Humans. Infant. Infant, Newborn. Male. Postoperative Complications / epidemiology. Retrospective Studies. Treatment Outcome. Urethra / surgery. Urethral Diseases / epidemiology. Urethral Diseases / etiology. Urethral Stricture / epidemiology. Urethral Stricture / etiology. Urinary Fistula / epidemiology. Urinary Fistula / etiology

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  • [Copyright] Copyright © 2012 Elsevier Inc. All rights reserved.
  • (PMID = 22595597.001).
  • [ISSN] 1531-5037
  • [Journal-full-title] Journal of pediatric surgery
  • [ISO-abbreviation] J. Pediatr. Surg.
  • [Language] eng
  • [Publication-type] Evaluation Studies; Journal Article
  • [Publication-country] United States
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41. Osifo OD, Odion-Obomhense H, Osagie TO: Repair-oriented categorization of circumcision urethral injury in Benin city, Nigeria. J Pediatr Urol; 2013 Apr;9(2):206-11
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Repair-oriented categorization of circumcision urethral injury in Benin city, Nigeria.
  • BACKGROUND: The wide spectrum of circumcision urethral injury/fistula makes selection of appropriate repair methods challenging in sub-Saharan Africa.
  • METHODS: Consecutive children presenting with circumcision urethral injury/fistula at the University of Benin Teaching Hospital were categorized into six repair-oriented groups in 2009-2011.
  • Categories of injury/fistula based on severity ranged from isolated fistula (38%) which required fistula excision and repair (category A) to severe ventral urethral/coronal/glanular avulsion (29%) which required urethral plate tubularization/ventral penile reconstruction (category F).
  • Meatal stenosis (2), urethral stricture (1), which responded to serial dilatation, and minor urinary leakage (2), which was closed at second stage, were the post-repair complications.
  • CONCLUSION: Repair-oriented categorization, which could be useful to practitioners in similar settings, was satisfactory in managing urethral injury/urethrocutaneous fistula.
  • [MeSH-major] Circumcision, Male / adverse effects. Urethra / injuries. Urethral Diseases / etiology. Urethral Diseases / surgery. Urinary Fistula / etiology. Urinary Fistula / surgery

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  • [Copyright] Copyright © 2012 Journal of Pediatric Urology Company. Published by Elsevier Ltd. All rights reserved.
  • [CommentIn] J Pediatr Urol. 2013 Apr;9(2):211 [22373655.001]
  • (PMID = 22391111.001).
  • [ISSN] 1873-4898
  • [Journal-full-title] Journal of pediatric urology
  • [ISO-abbreviation] J Pediatr Urol
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] England
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42. Gardikis S, Kambouri K, Giatromanolaki A, Agelidou M, Kalaitzis C, Giannakopoulos S, Touloupidis S, Vaos G: The use of a perimeatal-based penile skin flap to cover the repair of a tubularized incised plate urethroplasty: from experimental surgery to clinical practice. J Pediatr Urol; 2014 Jun;10(3):469-73
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • METHODS: In 12 New Zealand white rabbits a ventral urethral defect was created and reconstruction was accomplished with continuous suture.
  • One patient developed meatal stenosis.
  • [MeSH-major] Hypospadias / surgery. Penis / surgery. Reconstructive Surgical Procedures / methods. Skin Transplantation / methods. Surgical Flaps. Urethra / surgery. Urologic Surgical Procedures, Male / methods

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  • [Copyright] Copyright © 2014 Journal of Pediatric Urology Company. Published by Elsevier Ltd. All rights reserved.
  • (PMID = 24444860.001).
  • [ISSN] 1873-4898
  • [Journal-full-title] Journal of pediatric urology
  • [ISO-abbreviation] J Pediatr Urol
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] England
  • [Keywords] NOTNLM ; Distal hypospadias / Penile skin flap / Rabbit / Tubularized incised plate / Urethral reconstruction / Urethrocutaneous fistula
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43. Nemoto K, Ishidate T: [Balanitis xerotica obliterans with phimosis in elderly patients presenting with difficulty in urination]. Hinyokika Kiyo; 2013 Jun;59(6):341-6
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  • Preoperative average international prostate symptom score, average maximum urinary flow rate, and average volume of residual urine were 20.7±6.3 points (n=8), 5.1±3.6 ml/s (n=5), and 85.4±77.3 ml (n=8), respectively.
  • Some of the patient's complaints, such as severe dribbling of urine, urinary stream division, and ballooning of the foreskin, were not included in the items of the major questionnaire on urination.
  • Meatoplasty was performed in one patient with a meatal stenosis.
  • In conclusion, BXO with phimosis in elderly patients should be considered as a cause of lower urinary tract symptoms.

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  • (PMID = 23827865.001).
  • [ISSN] 0018-1994
  • [Journal-full-title] Hinyokika kiyo. Acta urologica Japonica
  • [ISO-abbreviation] Hinyokika Kiyo
  • [Language] jpn
  • [Publication-type] English Abstract; Journal Article
  • [Publication-country] Japan
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44. Hofer C, Köhn FM, Hatzichristodoulou GS, Gschwend JE, Treiber U: [Lichen sclerosus in the genitourinary region]. Urologe A; 2011 Oct;50(10):1291-6
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • Lichen sclerosus (LS) is a chronic inflammatory disorder of the skin and mucosa, presenting to genitourinary physicians, pediatricians, and dermatologists.
  • Pruritus, soreness, difficulty retracting the foreskin, and obstructive urinary symptoms are frequent complaints.
  • The disorder is usually highly responsive to ultrapotent topical steroids.
  • This may help arrest or delay the progressive nature of this disorder.
  • In cases of meatal stenosis meatoplasty and in cases of urethral involvement one- or two-stage oral graft urethroplasty is necessary.
  • [MeSH-major] Female Urogenital Diseases / diagnosis. Lichen Sclerosus et Atrophicus / diagnosis. Male Urogenital Diseases / diagnosis
  • [MeSH-minor] Administration, Topical. Adolescent. Adrenal Cortex Hormones / administration & dosage. Adult. Age Factors. Aged. Biopsy. Child. Circumcision, Male. Diagnosis, Differential. Disease Progression. Female. Humans. Male. Middle Aged. Skin / pathology. Urethral Obstruction / diagnosis. Urethral Obstruction / etiology. Urethral Obstruction / pathology. Urethral Obstruction / therapy. Young Adult

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  • (PMID = 21927875.001).
  • [ISSN] 1433-0563
  • [Journal-full-title] Der Urologe. Ausg. A
  • [ISO-abbreviation] Urologe A
  • [Language] ger
  • [Publication-type] English Abstract; Journal Article; Review
  • [Publication-country] Germany
  • [Chemical-registry-number] 0 / Adrenal Cortex Hormones
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45. Kanaroglou N, Wehbi E, Alotay A, Bagli DJ, Koyle MA, Lorenzo AJ, Farhat WA: Is there a role for prophylactic antibiotics after stented hypospadias repair? J Urol; 2013 Oct;190(4 Suppl):1535-9
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • We evaluated the role of prophylactic oral antibiotics for preventing symptomatic urinary tract infections in this population.
  • The primary outcome was symptomatic urinary tract infections, as captured from patient records and verified by an electronic cross-check of ICD-10 codes.
  • Secondary outcomes included cellulitis, fistula, dehiscence and meatal stenosis.
  • No culture proven, symptomatic urinary tract infections developed in either group.
  • CONCLUSIONS: When postoperative prophylactic oral antibiotics were not administered, we identified no increased incidence of symptomatic urinary tract infections or complications.
  • [MeSH-major] Anti-Bacterial Agents / administration & dosage. Antibiotic Prophylaxis / methods. Hypospadias / surgery. Stents / adverse effects. Surgical Wound Infection / prevention & control. Urinary Tract Infections / prevention & control


46. Paladino JR Jr, Wroclawski M, Den Julio A, Teixeira GK, Glina S, Lima Pompeo AC: Urethrocutaneous fistula post-Al-Ghorab shunt. Can Urol Assoc J; 2014 Jul;8(7-8):E570-1
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • During follow-up, an area of necrosis distal to the incision was detected, and after the catheter removal on postoperative day 14, the patient developed a glandular dorsal urethrocutaneous fistula and meatal stenosis.
  • The meatal stenosis was corrected by Johanson urethroplasty with a neo-meatus at the coronal sulcus, along with resection and debridement of the fistula tract and a three-layer closure.

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  • (PMID = 25210568.001).
  • [ISSN] 1911-6470
  • [Journal-full-title] Canadian Urological Association journal = Journal de l'Association des urologues du Canada
  • [ISO-abbreviation] Can Urol Assoc J
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] Canada
  • [Other-IDs] NLM/ PMC4137030
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47. Mane S, Arlikar J, Dhende N: Modified tubularized incised plate urethroplasty. J Indian Assoc Pediatr Surg; 2013 Apr;18(2):62-5
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • Selection criteria were good urethral plate, without chordee and torsion needing complete degloving.
  • One patient developed meatal stenosis in postoperative period.
  • All other patients are passing single urinary stream and have cosmesis that is acceptable.

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  • (PMID = 23798808.001).
  • [ISSN] 0971-9261
  • [Journal-full-title] Journal of Indian Association of Pediatric Surgeons
  • [ISO-abbreviation] J Indian Assoc Pediatr Surg
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] India
  • [Other-IDs] NLM/ PMC3687148
  • [Keywords] NOTNLM ; Preputioplasty / Snodgrass / spongioplasty / urethroplasty
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48. Safwat A, Al-Adl AM, El-Karamany T: Vascularized Dartos Flap in Conjunction with Tubularized Incised Plate Urethroplasty: Single versus Double Flaps for Management of Distal Hypospadias. Curr Urol; 2012 Sep;6(2):67-70
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • RESULTS: After mean follow-up 8.6 ± 5.4 months (range 3-24 months), good cosmetic results with vertical slit like meatus at the tip of conical shaped glans were obtained in 53 cases (91.4%).
  • Totally 5 cases occurred postoperative complications, of which 4 cases in Group I [2 (7.1%) with urethrocutaneous fistula, 1 (3.6%) with meatal stenosis and 1 (3.6%) with skin necrosis], 1 case in Group II [glanular dehiscence (3.3%)].

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  • (PMID = 24917716.001).
  • [ISSN] 1661-7649
  • [Journal-full-title] Current urology
  • [ISO-abbreviation] Curr Urol
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] Switzerland
  • [Other-IDs] NLM/ PMC3783336
  • [Keywords] NOTNLM ; Dartos flap / Fistula / Hypospadias / Tubularized incised-plate / Urethroplasty
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49. Lindeborg L, Fode M, Fahrenkrug L, Sønksen J: Satisfaction and complications with the Titan® one-touch release penile implant. Scand J Urol; 2014 Feb;48(1):105-9
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • Further complications included one patient with haematoma and sustained scrotal pain, one patient with meatal stenosis, and four patients with infections not related to the implant.

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  • (PMID = 23834377.001).
  • [ISSN] 2168-1813
  • [Journal-full-title] Scandinavian journal of urology
  • [ISO-abbreviation] Scand J Urol
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] England
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50. Safwat AS, Elderwy A, Hammouda HM: Which type of urethroplasty in failed hypospadias repair? An 8-year follow up. J Pediatr Urol; 2013 Dec;9(6 Pt B):1150-4
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • Patients' data were analyzed regarding age, number of previous repairs, meatal location, procedure performed, operative time and complications.
  • Complications were encountered in 16 (28.5%) patients in the form of graft contracture in 3, meatal stenosis in 2, urethral stricture in 2 including the patient with tubularized flap, urethra-cutaneous fistula in 7, bleeding in 1 and skin disruption in 1.
  • A long-term follow up for redo hypospadias repair is required to assess the late neourethral stricture and residual penile curvature.
  • [MeSH-major] Hypospadias / surgery. Postoperative Complications / surgery. Reconstructive Surgical Procedures / adverse effects. Urethra / surgery. Urethral Stricture / surgery

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  • [Copyright] Copyright © 2013 Journal of Pediatric Urology Company. Published by Elsevier Ltd. All rights reserved.
  • [CommentIn] J Pediatr Urol. 2014 Jun;10(3):578-9 [24439631.001]
  • (PMID = 23725854.001).
  • [ISSN] 1873-4898
  • [Journal-full-title] Journal of pediatric urology
  • [ISO-abbreviation] J Pediatr Urol
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] England
  • [Keywords] NOTNLM ; Hypospadias / OMG / Oral mucosa / Redo / TIP / Urethroplasty / oral mucosal graft / tubularized incised plate
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33. other circulatory disorder nos disorder
34. disorder of purine and pyrimidine metabolism disorder
35. disorder of the urea cycle metabolism disorder
36. disorder of mineral metabolism nos disorder
37. chronic organic mental disorder disorder
38. cannabis induced anxiety disorder disorder
39. alcohol induced sleep disorder disorder
40. alcohol induced mood disorder disorder
41. alcohol induced anxiety disorder disorder
42. developmental receptive language disorder disorder
43. breathing related sleep disorder disorder
44. glaucoma associated with ocular disorder disorder
45. affective personality disorder nos disorder
46. neonatal respiratory system disorder disorder
47. female sexual arousal disorder disorder
48. developmental expressive language disorder disorder
49. disorder of sympathetic nervous system disorder
50. disorder of parasympathetic nervous system disorder

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