Preputial Graft Urethroplasty in Primary Repair of Hypospadias

NCT05660564 | Completed

• 1 other identifier: AswanUH5
• Study Type: observational
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

Introduction: Hypospadias repair is debated. There has been no perfect procedure until this moment. A graft is sometimes needed to fundamentally strengthen the narrow urethral plate. Patients and methods: The study included a child who had primary distal or mid-penile hypospadias at the age of 6 months or more, a urethral plate less than 8 mm in a non-circumcised penis, and was operated on using the Snodgraft technique.

Conditions

Completed

Outcome Measures

Primary Outcomes (1)

• 75% success rate

  one and half year

Interventions

DIGU Dorsal inlay preputial graft urethroplasty PROCEDURE

Using a scalpel, a midline incision is made from the meatus to the end of the plate . The edge of the distal glans should not be incised to avoid meatal stenosis. The depth of this relaxing incision depends on the plate's width and depth, but in all cases, it extends down to the corpora cavernosa. Degloving of the penile skin to the penoscrotal junction If a minimal chord is present, it should be corrected. From the inner prepuce, a free graft was measured, harvested, defatted, and stitched to the UP. With interrupted 6/0 polyglactin sutures running from the old meatus to the tip of the glans, the graft was secured to the medial edges of the incised plate. Depending on the location of the meatus, the characteristics of the UP, and the depth of the midline incision, the graft width and length varied in each case.

Eligibility Criteria

• Age: 6 Months - 8 Years
• Sex: all
• Age Groups: Child (0-17)
• Sampling Method: Non-Probability Sample

Study Population

The study included hypospadias patients who were admitted to a hypospadias clinic at a university hospital.

You may not qualify if:

• Children with redo hypospadias, significant Chordee (30 percent or more), non-preservable plates, circumcised patients, and proximal hypospadias were excluded.

Sponsors & Collaborators

• Sarah Magdy Abdelmohsen: lead
• Aswan University Hospital: collaborator

Study Sites (1)

Sarah Magdy Abdelmohsen

Cairo, 11331, Egypt

Location

Study Design

• Study Type: observational
• Observational Model: CASE CROSSOVER
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Lecturer

Study Record Dates

• First Submitted: December 13, 2022
• First Posted: December 21, 2022
• Study Start: May 1, 2018
• Primary Completion: May 1, 2018
• Study Completion: October 30, 2019
• Last Updated: December 21, 2022

Record last verified: 2022-12

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL

Locations

EG (1)