Dorsal Versus Ventral Dartos Flap to Prevent Fistula Formation in Tubularized Incised Plate Urethroplasty for Hypospadias

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dc.authoridYiğit, Doğakan/0000-0001-9863-8560
dc.authorwosidYiğit, Doğakan/AIA-5267-2022
dc.contributor.authorYigit, Dogakan
dc.contributor.authorAvlan, Dincer
dc.date.accessioned2024-06-12T10:59:08Z
dc.date.available2024-06-12T10:59:08Z
dc.date.issued2022
dc.departmentTrakya Üniversitesien_US
dc.description.abstractPurpose: The purpose of this study is to evaluate the results of two different flap procedures for the prevention of urethrocutaneous fistula in hypospadias patients undergoing tubularized incised plate urethroplasty. Patients and Methods: We retrospectively reviewed 89 patients who underwent hypospadias repair. The standard technique of tubularized incised plate urethroplasty was used. There were 45 patients in Group 1 and 44 patients in Group 2, in which ventral and dorsal dartos flaps were used to cover the neourethra respectively. Surgical complications were assessed as the main outcomes. The results were analyzed with Chi-square and Mann-whitney U tests. Results: There was no significant difference between the groups in terms of age and meatus location. We observed postoperative surgical complications in 15 (33.3 %) patients in Group 1 and in 4 (9.1 %) patients in Group 2. The complications noted in the Group 1 were urethrocutaneous fistula in 10 patients (22.2 %) and meatal stenosis in 5 patients (11.1 %). In Group 2, fistula was observed in 2 patients (4.6 %) and stenosis in again 2 patients (4.6 %). Urethrocutaneous fistulas occurred statistically more frequently when ventral based dartos flaps were used (P <.05). Conclusion: Several flap procedures and their modifications have been suggested to avoid fistula formation. Within these procedures, dartos flaps are reported to be very useful for primary distal or proximal hypospadias repair and reoperations. In this study, we concluded that vascularized dorsal preputial dartos flap procedure is safe and more effective than ventral based flap in the prevention of fistula formation.en_US
dc.identifier.doi10.22037/uj.v19i.7098
dc.identifier.endpage319en_US
dc.identifier.issn1735-1308
dc.identifier.issn1735-546X
dc.identifier.issue4en_US
dc.identifier.pmid35762080en_US
dc.identifier.scopus2-s2.0-85138179409en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage315en_US
dc.identifier.urihttps://doi.org/10.22037/uj.v19i.7098
dc.identifier.urihttps://hdl.handle.net/20.500.14551/20335
dc.identifier.volume19en_US
dc.identifier.wosWOS:000892871700002en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherUrol & Nephrol Res Ctr-Unrcen_US
dc.relation.ispartofUrology Journalen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectDartos Flapen_US
dc.subjectHypospadiasen_US
dc.subjectTubularized Incised Plate Urethroplastyen_US
dc.subjectUrethrocutaneous Fistulaen_US
dc.subjectSnodgrass Hypospadiasen_US
dc.subjectRepairen_US
dc.titleDorsal Versus Ventral Dartos Flap to Prevent Fistula Formation in Tubularized Incised Plate Urethroplasty for Hypospadiasen_US
dc.typeArticleen_US

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