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Circumcised hypospadias.
Pediatr Surg Int 2009; 25(1):53-5PS

Abstract

PURPOSE

Patients with circumcised hypospadias have been of significant concern over many decades due to the belief that prior circumcision might negatively affect the results of hypospadias' repair. We evaluated outcomes in consecutive males with anterior, distal penile, and the megameatus with intact prepuce variant of hypospadias (MIP).

METHODS

After IRB approval a retrospective of 48 consecutive males with circumcised hypospadias was reviewed. In all cases the urethroplasty was accomplished with either urethral plate tubularization or a MAGPI procedure. No skin flaps were used.

RESULTS

A total of 48 patients with circumcised hypospadias (anterior, MIP variant, and distal penile) underwent operative reconstruction by one of us (RVP). All patients were followed for at least 8 months.

CONCLUSIONS

Prior circumcision did not negatively affect the results of subsequent urethroplasty in patients with anterior, distal penile, and the MIP variant of hypospadias. The use of the tubularized incised plate urethroplasty (TIP) has virtually eliminated the need for skin flaps in anterior hypospadias repair.

Authors+Show Affiliations

Department of Pediatric Surgery, Section of Urology, Massachusetts General Hospital for Children, Boston, MA, USA. rpieretti@partners.orgNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

18850103

Citation

Pieretti, Rafael V., et al. "Circumcised Hypospadias." Pediatric Surgery International, vol. 25, no. 1, 2009, pp. 53-5.
Pieretti RV, Pieretti A, Pieretti-Vanmarcke R. Circumcised hypospadias. Pediatr Surg Int. 2009;25(1):53-5.
Pieretti, R. V., Pieretti, A., & Pieretti-Vanmarcke, R. (2009). Circumcised hypospadias. Pediatric Surgery International, 25(1), pp. 53-5. doi:10.1007/s00383-008-2254-1.
Pieretti RV, Pieretti A, Pieretti-Vanmarcke R. Circumcised Hypospadias. Pediatr Surg Int. 2009;25(1):53-5. PubMed PMID: 18850103.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Circumcised hypospadias. AU - Pieretti,Rafael V, AU - Pieretti,Alberto, AU - Pieretti-Vanmarcke,Rafael, Y1 - 2008/10/11/ PY - 2008/09/17/accepted PY - 2008/10/14/entrez PY - 2008/10/14/pubmed PY - 2009/4/25/medline SP - 53 EP - 5 JF - Pediatric surgery international JO - Pediatr. Surg. Int. VL - 25 IS - 1 N2 - PURPOSE: Patients with circumcised hypospadias have been of significant concern over many decades due to the belief that prior circumcision might negatively affect the results of hypospadias' repair. We evaluated outcomes in consecutive males with anterior, distal penile, and the megameatus with intact prepuce variant of hypospadias (MIP). METHODS: After IRB approval a retrospective of 48 consecutive males with circumcised hypospadias was reviewed. In all cases the urethroplasty was accomplished with either urethral plate tubularization or a MAGPI procedure. No skin flaps were used. RESULTS: A total of 48 patients with circumcised hypospadias (anterior, MIP variant, and distal penile) underwent operative reconstruction by one of us (RVP). All patients were followed for at least 8 months. CONCLUSIONS: Prior circumcision did not negatively affect the results of subsequent urethroplasty in patients with anterior, distal penile, and the MIP variant of hypospadias. The use of the tubularized incised plate urethroplasty (TIP) has virtually eliminated the need for skin flaps in anterior hypospadias repair. SN - 0179-0358 UR - https://www.unboundmedicine.com/medline/citation/18850103/Circumcised_hypospadias_ L2 - https://dx.doi.org/10.1007/s00383-008-2254-1 DB - PRIME DP - Unbound Medicine ER -