Isolated preputial reconstruction in distal hypospadias

Abstract Objective The aim of this single centre study was to determine: a) the outcome of isolated preputial reconstruction in distal hypospadias and b) overall parental satisfaction. Methods A retrospective analysis of case notes was performed to determine outcome. Postal parent-satisfaction quest...

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Bibliographic Details
Published in:Journal of pediatric urology 2014-04, Vol.10 (2), p.399.e1-399.e2
Main Authors: Zimmermann, Eleanor F, Woodward, Mark N
Format: Article
Language:English
Subjects:
Child
Child, Preschool
Cohort Studies
Distal hypospadias
Follow-Up Studies
Foreskin
Foreskin - surgery
Humans
Hypospadias - diagnosis
Hypospadias - surgery
Infant
Male
Patient Satisfaction - statistics & numerical data
Pediatrics
Postoperative Complications - physiopathology
Postoperative Complications - surgery
Prepuce
Reconstruction
Reconstructive Surgical Procedures - methods
Retrospective Studies
Surveys and Questionnaires
Time Factors
Treatment Outcome
United Kingdom
Urology
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Summary:Abstract Objective The aim of this single centre study was to determine: a) the outcome of isolated preputial reconstruction in distal hypospadias and b) overall parental satisfaction. Methods A retrospective analysis of case notes was performed to determine outcome. Postal parent-satisfaction questionnaires were devised to quantify subjective assessment of care and outcome. Results A total of 33 cases of isolated preputial reconstruction were identified between 2006 and 2012. Three sets of notes were untraceable. The median age of the 30 remaining patients at surgery was 23 months (range 11–119). At follow-up, 28 (94%) patients had retractile foreskins that had healed well. One patient (3%) had a foreskin fistula and the parents chose to proceed with circumcision rather than fistula closure. A second patient (3%) developed late phimosis secondary to balanitis xerotica obliterans and also underwent circumcision. Twelve follow-up questionnaires were returned. The median overall success rating of the operation was 4.7/5.0 (94%). All respondents reported that they would recommend the procedure to another parent whose child has a similar diagnosis. Conclusion Isolated preputial reconstruction improves the cosmetic appearances in distal hypospadias, has a low complication rate and offers high parental satisfaction.
ISSN:1477-5131
1873-4898
DOI:10.1016/j.jpurol.2013.10.022