What Is The Long Term Outcome For Surgical Treatment To Repair A Ureterocele

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Purpose: Although several surgical approaches are suggested for hypospadias reconstruction but there is non a consensus on the best surgical method of hypospadias repair. This is a survey about technique of choice in handling of various types of hypospadias.

Method and materials: We asked about preferred method of treatment for iii different hypospadias scenarios. 170 surgeons completed the questionnaire and enrolled in this report.

Results: 51 general urologists, 61 pediatric surgeon, 16 plastic surgeons and 42 pediatric urologists joined the survey. Preferred method of surgery for a distal hypospadias was TIP in 53.5%. TIP was offered by 39.four% , Two stage Urethroplasty in 24.7% and Isle On lay Flap in 21.two% to repair a proximal hypospadias without cordee. 2-phase Bracka or Durham Smith were common surgical options in proximal hypospadias surgery with cordee.

Conclusion: A growing trend was detected on TIP repair of distal and proximal hypospadias without cordee.

UNCLASSIFIED

Purpose

The aim of study was to investigate the outcome of surgery in patients with penile fracture in Al-Zahra hospital.

Materials and Methods

This cross sectional study was conducted on 187 patients with penile fracture underwent surgery in Al-Zahra hospital during 2022- 2022. Data such as penile fracture causes, erectile dysfunction, time of surgery after penile fracture, caste of penile curvature and etc were extracted from medical records.

Results

The most common reason of penile fracture in these patients was manipulation and trauma with frequency 70 (37.4%) and 69 patients (36.9%), respectively. Lower urinary tract symptom, urinary tract injury, penile curvature, penile nodule and erectile dysfunction were observed in 1 (0.54 %), ii(1.06 %), 76 (40.64%), 75 (40.1%), 43 (23%) patients, respectively. Mild and moderate erectile dysfunction was seen in 38 (88.3%) and five (eleven.62%) patients, respectively. There was significant relation between erectile dysfunction with caste of penile curvature, surgical time and size of defect (P<.01). Furthermore, significant relation was observed betwixt penile nodules and suture type (P=.000).

Determination

According to findings, erectile dysfunction was observed in 23 % of patients; nonetheless most of these patients had mild erectile dysfunction. Moreover, erectile dysfunction was influenced past penile curvature, surgical time and size of defect. Therefore, early surgery and special attention to patients with astringent penile curvature are proposed for prevention of erectile dysfunction in these patients.

Video

To date, the optimal surgical technique for treatment of ureterocele remains unclear and the available options are variable. The endoscopic techniques that are gaining popularity mostly share major drawbacks including depression success rate, high probability of mandatory secondary surgery and de novo vesicoureteral reflux to the ureterocele moiety. The Double-Puncture technique is shown to have promising outcomes in terms of long-term success and low rate of complications. In this video, a footstep-by-stride guide to this technique is presented.