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Title of Journal: Pediatr Surg Int

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Abbravation: Pediatric Surgery International

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Springer Berlin Heidelberg

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DOI

10.1002/9781118520178.ch13

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1437-9813

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Role of penile biometric characteristics on surgic

Authors: Eloísio Alexsandro da Silva Tassia Lobountchenko Matheus Nemer Marun Atila Rondon Ronaldo Damião
Publish Date: 2013/12/28
Volume: 30, Issue: 3, Pages: 339-344
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Abstract

We prospectively studied 42 boys with distal hypospadias that underwent TIP urethroplasty Biometric assessment prior to surgery consisted of classifying glans shape urethral plate UP length and width prepuce vascularization and penile size using a caliper rule according to previous definitions Surgical outcome was assessed according to the occurrence of dehiscence fistula or urethral strictureThere was no statistical difference among groups concerning postoperative complications Glans shape grooved 24/57  shallow 9/21  and conical 9/21  UP width 10 mm 26/62  and ≥10 mm 16/38  UP length was evaluated in 29 patients 10 mm in 12/41  and ≥10 mm 17/59  Prepuce vascularization one predominant blood vessel 17/41  two predominant blood vessels 8/19  Hlike form with communication between two welldeveloped blood vessels 6/14  and netlike form with no predominant blood vessels 11/26  Penile size was measured in 28 patients under 50th percentile 25/89 Glans shape UP width UP length prepuce vascularization and penile size do not significantly affect the complication rate of TIP repair in distal hypospadias Most of the patients with distal hypospadias presented with penile size under mean length for age suggesting some form of mild hypogonadism

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