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Association of Paediatric Surgeons of Bangladesh
Journal of Paediatric Surgeons of Bangladesh
Original Articles · Vol. 2 No. 1 (2011)

Histological Analysis of Vascular and Collagen Tissues in the Ventral and Corresponding Dorsal Skin of Mid-Penile Hypospadiac Penis at the Meatal and Coronal Levels: A Comparative Study

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JPSB
Journal of
Paediatric Surgeons of Bangladesh
Published : January 2011
CONTENTSVolume 02Number 1January 2011
Editorial
Choledochochal Cyst
Md Mahbub-ul-Alam
03
Original Articles
Study of the Effect of Early Feeding after Gut Resection and Primary Anastomosis: A Prospective Randomised Trial
MN Zaman, MMM Pervez, MAB Akan, AM Shahinoor, M Anisuzzaman, MN Islam
07
Breast Diseases in Children and Adolescents - A Two Year Experience in a Private Hospital of Dhaka
S Islam, AKMA Morshed, SA Ali
12
Histological Analysis of Vascular and Collagen Tissues in the Ventral and Corresponding Dorsal Skin of Mid-Penile Hypospadiac Penis at the Meatal and Coronal Levels: A Comparative Study
MAB Akan, MR Amin, MMR Sibli, AM Shahinoor, M Anisuzzaman, MN Islam, MN Zaman
17
Outcome of External and Internal Drainage of Urine after Anderson Hynes Pyeloplasty - A Comparative Study
AM Shahinoor, MMR Shibli, MAB Akan, M Anisuzzaman, MN Islam, MN Zaman, MTH Siddiqui
22
Short Term Outcome of Urethroplasty for Distal Hypospadias with Interrupted Suture Compared to continuous Suture
MMR Shibli, S Hoque, AM Shahinoor, MAB Akan, S Zabeen
26
To Evaluate the Role of Vascularised Dorsal Dartos Flap in Snodgrass Urethroplasty
M Anisuzzaman, MAB Akan, R Ara, MM Hasan, MN Zaman, MR Amin
31
Miscellaneous
Instructions to Contributors
The Editor
00
Case Reports
Fetus in Fetu: A Case Report & Review of Literatures
MAM Rahman, AA Farooq, MAH Bhuiyan, TK Chowdhury, HMA Rouf
36
The Official Journal of the
ASSOCIATION OF PAEDIATRIC SURGEONS OF BANGLADESH (APSB)
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Authors

  • MAB AkanMedical Officer, Upozila Health Complex, Swarupkati, Pirojpur.
  • MR AminProfessor, Department of Paediatric Surgery, Bangabandhu Sheikh Mujib Medical University
  • MMR SibliAssistant Registrar, Department of Surgery, Dhaka Dental College Hospital, Dhaka
  • AM ShahinoorMedical Officer, Department of Paediatric Surgery, Bangabandhu Sheikh Mujib Medical University
  • M AnisuzzamanRegistrar, Department of Surgery, Holy Family Red Crescent Hospital, Dhaka
  • MN IslamMedical Officer, Department of Paediatric Surgery, Bangabandhu Sheikh Mujib Medical University
  • MN ZamanMedical officer, OSD, DG Health

Keywords

Hypospadias urethrocutaneous fistula meatal level coronal level vascular tissue collagen tissue

Abstract

Background: Hypospadias where surgery is the only option to correct this birth defect which is usually associated with post-operative urethrocutaneous fistula formation even in best hands. The site of fistula is mostly at coronal level (80%) and less common at meatal level. Many factors are supposed to be responsible for causation of this fistula, important one is the developmentally defective ventral penile skin at and / or distal to the urethral meatus where some local healing factors like vascular and collagen tissues are insufficient. Objective: To determine histologically whether the ventral skin of hypospadiac penis at the meatal and coronal levels differ from the corresponding dorsal skin levels in terms of vascular and collagen tissue. Study design: Observational comparative study. Place of study: Department of Paediatric Surgery, Bangabandhu Sheikh Mujib Medical University, Dhaka. Period of study: December 2008 to 15 May 2010. Materials & Methods: A total of 10 patients with mid-penile hypospadias without chordee were included in this study. Representative skin tissues were collected from ventral skin and corresponding dorsal skin of the meatal and coronal levels of every patient. Haematoxylin-eosin stained slides were prepared from each tissue specimen and were examined under microscope to determine the differences in blood vessels and collagen tissues distribution. Paired t test was used to test the significance of differences. Results: Significantly lower proportion of sectioned blood vessels was found in the ventral skin than in the dorsal skin at the coronal level. The proportion of sectioned collagen fibre bundles was also significantly lower in the dorsal skin than in the ventral skin at the coronal level. Conclusion: This study reveals difference in distribution of blood vessels and collagen fibre bundle in the ventral skin in comparison with corresponding dorsal skin of hypospadiac penis at meatal and coronal levels.

Journal of Paediatric Surgeons of Bangladesh (2011) Vol. 2 (1): 17–21

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