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Association of Paediatric Surgeons of Bangladesh
Journal of Paediatric Surgeons of Bangladesh
Original Articles · Vol. 3 No. 2 (2012)

A Comparative Study to Evaluate the Outcome of Double Dartos Flap in Tubularized Incised Plate Urethroplasty for Distal Hypospadias Repair

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JPSB
Journal of
Paediatric Surgeons of Bangladesh
Published : July 2012
CONTENTSVolume 03Number 2July 2012
Editorial
Collaboration in Pediatric Surgical Training & Education among Asian Countries & Beyond – Bangladesh perspective
Abdul Hanif Tablu
54
Review Articles
Enuresis
Ashraf Ul Huq Kazal
78
Original Articles
Effect of Preoperative Chemotherapy in the Treatment of Advanced Wilms Tumor
Kaniz Hasina, Md Kamrul Hassan, Abdul Hanif, Abdur Rahed Khan, Muhammad Saiful Islam
56
Role of Ultrasound-Guided Hydrostatic Reduction of Intussusception in Children with Early Presentation
Md Shakhawat Hossain, Md Ashraf Ul Huq, Jafrul Hannan, Kaniz Hasina, RN Sarker
61
A Comparative Study to Evaluate the Outcome of Double Dartos Flap in Tubularized Incised Plate Urethroplasty for Distal Hypospadias Repair
Abhi Kumar Chakraborty, Sajal Kumar Majumdar, Mirza Kamrul Zahid, Sayed Mahmudur Rahman, Dipankar Kumar Saha, Khandoker Moynul Hasan
65
Incidence and Progress of Vesicoureteric Reflux after Primary Fulguration of Posteriorurethralvalves
MM Masud Pervez, Kaniz Hasina, Md Ashraf Ul Huq
71
Case Reports
Diaphragmatic Rupture in a Boy Following Blunt Abdominal Trauma- A Case Report
MA Mushfiqur Rahman, Md Minhajuddin Sajid, Md Abdullah Al Farooq, Md Akbar Husain Bhuiyan, Tanvir Kabir Chowdhury
81
Intestinal Atresia : A Case Report
Mohammad Shakhawat Hossain, Ashraf Ul Huq Kazal, Moinul Huque
85
Neuroblastoma neck in a 7-year-old girl: a very rare presentation
Rameez Shah, Sk Nurul Fatah Rumi
88
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ASSOCIATION OF PAEDIATRIC SURGEONS OF BANGLADESH (APSB)
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Authors

  • Abhi Kumar ChakrabortyAssistant Professor, Department of Paediatric Surgery, Shaheed Suhrawardy Medical College and Hospital, Dhaka
  • Sajal Kumar MajumdarAssociate Professor, Department of Paediatric Surgery, Shaheed Suhrawardy Medical College and Hospital, Dhaka
  • Mirza Kamrul ZahidAssociate Professor, Department of Paediatric Surgery, Mymensingh Medical College and Hospital, Mymensingh
  • Sayed Mahmudur RahmanProfessor, Department of Paediatric Surgery, Shaheed Suhrawardy Medical College and Hospital, Dhaka
  • Dipankar Kumar SahaRegistrar, Department of Paediatric Surgery, Shaheed Suhrawardy Medical College, Hospital, Dhaka
  • Khandoker Moynul HasanAssistant Registrar, Department of Paediatric Surgery, Shaheed Suhrawardy Medical College Hospital, Dhaka

Keywords

Double-dartos flap Tubularized incised plate urethroplasty Distal hypospadias Outcome

Abstract

Background/purpose: The tubularized incised plate urethroplasty (Snodgrass technique) presents the procedure of choice for distal hypospadias repair. Fistula formation is the most common complication with various rates. Avoiding overlap of suture lines in the Snodgrass repair is critical to minimize fistula formation through second-layer coverage of the neourethra. We compared the outcome of double- layer dartos flaps to flapless procedure in the tubularized incised plate urethroplasty for distal hypospadias repair to assess the effectiveness of dartos flap in this method. Methods: Our study included 28 patients aged upto 12 years who were treated with tubularized incised plate urethroplasty for distal hypospadias in Shaheed Suhrawardy Medical College Hospital from April 2010 to December 2011. They were divided into two groups. Group A (14 patients) had double dartos flap coverings. Group B (14 patients) had no dartos flap covering. The dissected dorsal dartos flap was bisected vertically to form two pedicle wings. Each wing was rotated laterally from either side of the glans to cover the neourethra ventrally in a double-layer fashion. Result: Mean follow up period was 9 months. In Group A, one patient (7%) developed fistula and one (7%) superficial skin necrosis. On the other hand three (21%) patients developed fistula and one patient (7%) meatal stenosis in group B, who were treated with Snodgrass procedure without using dartos flap. All successful repaired hypospadias patients of both groups had a cosmetically normal looking circumcised penis with ventrally slit meatus. Conclusions: Double dartos flaps covering of the neourethra is a simple procedure and could be effective for the prevention of urethrocutaneous fistula after tubularized incised plate urethroplasty.

Journal of Paediatric Surgeons of Bangladesh (2012) Vol. 3 (2): 65–70

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