Hypospadias surgery: an illustrated guide
Gespeichert in:
| Format: | Buch |
|---|---|
| Sprache: | German |
| Veröffentlicht: |
Berlin [u.a.]
Springer
2004
|
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | XXIII, 375 S. zahlr. Ill. |
| ISBN: | 3540430415 |
Internformat
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| 245 | 1 | 0 | |a Hypospadias surgery |b an illustrated guide |c Ahmed T. Hadidi ... (ed.) |
| 264 | 1 | |a Berlin [u.a.] |b Springer |c 2004 | |
| 300 | |a XXIII, 375 S. |b zahlr. Ill. | ||
| 336 | |b txt |2 rdacontent | ||
| 337 | |b n |2 rdamedia | ||
| 338 | |b nc |2 rdacarrier | ||
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| 700 | 1 | |a Azmy, Amir F. |e Sonstige |4 oth | |
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Datensatz im Suchindex
| _version_ | 1804130254589001728 |
|---|---|
| adam_text | Contents
I General 1
1 Evolution of Hypospadias Surgery:
Historical Perspective
Cenk Biiyukunal 3
Egyptian Civilisation and Religious Documents 3
Greek, Ionian and Alexandrian Civilisations ... 3
The Byzantine Period 4
Islamic Medicine 4
The Renaissance Period 4
The Seventeenth to Eighteenth Centuries 5
The Nineteenth Century 5
Creation of a Neourethra 5
Efforts to Create an Urethra
by Using Local Flaps 5
Techniques for Reconstructing
the Urethra by Using
Vascularised Island Flaps 9
Urethral Construction with Free Grafts 9
Urethral Elongation 9
The Concept of Chordee Correction 9
The Twentieth Century 10
Creation of Neourethra 10
Efforts to Create Urethra by Local Flaps 10
Techniques for Reconstruction
of the Urethra by Using
Vascularised Island Flaps 11
Urethral Construction with Free Grafts 13
Urethral Elongation 13
The Concept of Chordee Correction 14
Milestones in Modern Hypospadiology 14
References 15
2 Men Behind Principles
and Principles Behind Techniques
Ahmed T.Hadidi 19
Abnormal Ventral Curvature of the Penis
and Orthoplasty 19
Abnormal Proximal Meatal Insertion
and Urethroplasty 23
Urethral Mobilisation 23
Use of Ventral Skin Distal to the Meatus .. 25
Use of Ventral Skin Proximal to the Meatus
(Meatal Based Flaps) 29
Use of Preputial Skin 33
Combined Use of Prepuce and Skin
Proximal to the Meatus 37
Use of Scrotum 37
Use of Dorsal Penile Skin 37
Use of Grafts 43
Use of a Protective Intermediate Layer ... 43
Abnormal Looking Glans Penis
and Glanuloplasty and Meatoplasty 43
References 48
3 Epidemiology of Hypospadias
Helen Dolk 51
The Prevalence of Hypospadias 51
Endocrine Disrupting Chemicals
and Hormonal Aetiological Factors 54
Conclusion 56
References 56
4 Genetic Aspects of Hypospadias
Margo Whiteford 59
Hypertelorism with Oesophageal Abnormality
and Hypospadias 60
McKusick Kaufman Syndrome 60
Pallister Hall Syndrome 60
Smith Lemli Opitz Syndrome 60
Other Associations 61
References 61
Contents
5.1 Embryology and Anatomy of Hypospadias
John M. Hutson, E.C Penington 63
Normal Embryology of External Genitalia 63
The Cloacal Cavity and the Cloacal Plate . 63
The Fate of the Cloacal Plate 64
The Urethral Plate and Formation
of the Urethra 67
Phallus and Prepuce 68
Abnormal Development in Hypospadias 68
Ectopic Orifice 68
Dorsal Hood and Raphe 68
Chordee 71
References 71
5.2 Blood Supply of the Penile Skin
Zacharias Zachariou 73
Introduction 73
Embryology 73
Preputial Arterial Supply and Venous Drainage . 73
Surgical Considerations 76
Conclusions 76
References 77
5.3 Classification of Hypospadias
Ahmed T. Hadidi 79
6.1 Timing of Elective Hypospadias Repair
Athanasios Zavitsanakis,
Ewagelia Gougoudi 83
Emotional Development 83
Sexual Development 83
Psychological Effects of Surgery
and Anaesthesia 84
Improvement in Technical Aspects of Surgery
and Advances in Paediatric Anaesthesia 84
Editorial Comment 84
References 85
6.2 General Principles
Amir F. Azmy 87
History 87
Examination 87
The Role of Imaging 87
Associated Anomalies 88
Hypoplasia of the Penis 88
Preoperative Evaluation 88
Preoperative Preparation 88
Preoperative Hormonal Stimulation 88
Consent 89
Penoscrotal Transposition 90
Ambiguous Genitalia 90
Incidence of Intersexuality in Children
with Cryptorchidism and Hypospadias 90
Assessment of Results of Hypospadias Surgery . 91
Meatal and Urethral Calibration 91
Assessment Using Uroflowmetry 91
Objective Scoring System for Results
of Hypospadias Surgery 92
Analysis of Cosmetic Outcome
Using Photography 92
References 92
7 Plastic Surgery Principles
Ahmed T. Hadidi 93
Skin Grafts 93
Split Skin Grafts 93
Full Thickness Skin Grafts 94
Skin Graft Survival 95
Flaps 96
Random Flaps 97
Axial Flaps 98
Fasciocutaneous Flaps 98
References and Suggested Reading 98
8 Principles of Hypospadias Surgery
Ahmed T. Hadidi 99
Positioning 99
Magnification 99
Traction, Retraction and Tension 99
Tissue Handling and Viability 100
Instruments 100
Suture Material and Knots 100
Suturing Techniques 101
Haemostasis 101
Urinary Diversion 102
Perineal Urethrostomy 102
Suprapubic Cystotomy 103
Urethral Catheterisation 103
Transurethral Drainage (Dripping Stent) . 103
Dressings 104
References 104
9 Analgesia and Pain Control
John Currie 107
Preparation 107
The Preanaesthetic and Preoperative Visits 107
Premedication 108
The Parent in the Anaesthetic Room 108
Pre emptive Analgesia 109
Local Anaesthetic Techniques 109
Caudal Analgesia 110
Epidural Analgesia 110
Penile Block 110
Local Application Ill
Summary of Agents Used Ill
Preparation for Subsequent Surgery Ill
References 112
II Operative 113
10 Chordee (Penile Curvature)
Amir F. Azmy 115
Chordee With Hypospadias 115
Chordee Without Hypospadias 115
Artificial Erection Test 115
Operative Correction of Chordee
Without Hypospadias 115
Correction of Short Urethra 115
Correction of Glanular Tilt 116
Correction of the Paper Thin Urethra 116
Correction of Chordee With Hypospadias 116
Correction of Penile Curvature
with the Essed Schroder Technique 117
Chordee Without Hypospadias in Men 117
Late Onset Recurrent Penile Chordee
After Successful Correction
of Hypospadias Repair 118
References 118
11 Meatal Advancement
and Glanuloplasty (MAGPI) Procedure
Yegappan Lakshmanan, John P. Gearhart . 119
Introduction 119
Selection of Patients 119
Operative Technique 119
Meatoplasty 119
Glanuloplasty 121
Modifications 121
Results 121
Complications 122
Conclusions 122
References 122
Contents XV
12 Urethral Advancement, Glanuloplasty
and Preputioplasty in Distal Hypospadias
Dimitris Keramidas, Michael Soutis 123
Operative Technique 123
Complications 125
Comments 125
References 125
13.1 Thiersch Duplay Principle
Moneer Hanna, Adam C. Weiser 127
Introduction 127
Preoperative Evaluation 128
Patient Selection 128
Operative Management 128
Results 130
Conclusions 132
References 133
13.2 Megameatus Intact Prepuce Variant
Amir F. Azmy 135
14.1 The Meatal based Flap Mathieu Technique
Cenk Buyukunal 139
Introduction 139
The Mustards Procedure 139
The Horton Devine Flip Flap Procedure 139
The Mathieu Procedure 142
Preoperative Evaluation
and Patient Selection 142
Contraindications
of the Mathieu Procedure 142
Operative Technique 142
The Steps of Mathieu s Procedure 142
The Mathieu Technique
and Relevant Modifications and Controversies . 144
Stenting 144
Reinforcement of the Neourethra
Using Local Tissues 145
How To Improve the Appearance
of the Meatus in Mathieu Cases 145
Chordee 145
Hinging of Urethral Plate 145
Mathieu as a Rescue Operation 145
Results and Complications 145
Our Experience 146
References 146
Contents
14.2 TheY VGIanuloplasty
Modified Mathieu Technique
Ahmed T.Hadidi 149
Introduction 149
Patient Selection 149
Operative Technique 149
Steps 4,5,6: Y V Glanuloplasty 149
Parameatal Flap Design 151
Neourethra Reconstruction 152
Meatoplasty and Glanuloplasty 152
Urinary Diversion 153
Dressing 153
Results and Conclusion 153
References 154
IS Tubularized Incised Plate Urethroplasty
Warren Snodgrass 155
Introduction 155
Preoperative Evaluation 155
Operative Technique 157
Distal Hypospadias Repair 157
Degloving the Penis 157
Urethroplasty 157
Glanuloplasty 158
Skin Closure 158
Proximal Hypospadias Repair 158
Degloving the Penis 158
Urethroplasty 159
Reoperations 159
Urethroplasty 159
Results 159
Complications 160
Conclusions 161
References 161
16.1 The Island Onlay Hypospadias Repair
Howard Snyder 163
Introduction 163
Operative Technique 163
Timing 163
Design of Glanuloplasty 163
Incisions 165
Penile Skin Dropped Back 166
Elevation of Glans Wings 166
Artificial Erection 166
Design of Island Onlay Flap 166
Glanuloplasty 166
Skin Closure 167
Urethral Stenting 167
Dressing 167
Aftercare 167
Outcome 168
Conclusion 168
Referencess 168
16.2 Tubularised Preputial Island Flap
Ahmed T. Hadidi, Amir F. Azmy 169
Operative Steps 169
References 172
7 7 Single Stage Procedure for Severe Hypospadias:
Onlay Tube Onlay Modification
of the Transverse Island Preputial Flap
Jyoti Upadhyay, Anthony Khoury 173
Introduction 173
Surgical Treatment 174
Choice of Repair 175
General Principles 175
Spongioplasty/Glanuloplasty 177
Repair of Chordee 177
Urethroplasty 179
Preputial Transverse Island
Combined Onlay Tube Onlay Flap 179
Skin Coverage 181
Stents/Dressings 181
Follow up 182
Results 182
References 184
18 The Modified Asopa (Hodgson XX) Procedure
to Repair Hypospadias with Chordee
Jeffrey Wacksman 187
Introduction 187
Operative Technique 187
Conclusion 189
References 190
19 Koyanagi Nonomura One Stage Repair
for Severe Perineal Hypospadias
Tomohiko Koyanagi, Katsuya Nonomura,
Hidehiro Kakizaki, Masashi Murakumo,
Takashi Shibata 191
Introduction 191
Operative Technique 191
Step 1: Outlining the Skin Incision
and Dartos Mobilization 191
Step 2: Chordectomy and Creation
of Parameatal Foreskin Flap 194
Step 3: Bisecting the Glans and Creation
of Glanular Wings 194
Step 4: One Stage Urethroplasty
with Parameatal Foreskin Flaps
(Koyanagi et al. 1987,1994) 195
Step 5: Glanulomeatoplasty 197
Step 6: Byarsization of the Dorsal Foreskin
and Its Subcutaneous Tissue
for Skin Closure 197
Step 7: Skin Closure 198
Postoperative Care 199
Results 199
Comments 200
Editorial Comment 200
References 201
Recommended Reading 202
20 The Yoke Hypospadias Repair
Brent W. Snow 203
Technique 203
References 207
21 Lateral based Flap With Dual Blood Supply:
A Single Stage Repair
for Proximal Hypospadias
AhmedT.Hadidi 209
Introduction 209
Surgical Technique 209
Step 1: Stay Suture, Erection Test
and Meatal Dilatation or Incision 209
Step 2: Y shaped Deep Incision
of the Glans 209
Step 3: Chordectomy 209
Step 4: Outlining Skin Incision
and Flap Mobilisation 209
Step 5: Formation of the Neourethra 212
Step 6: Glanulomeatoplasty 212
Contents XVII
Step 7: Protective Intermediate Layer 212
Step 8: Skin Closure 212
Step 9: Formation of Penoscrotal Angle ... 212
Step 10: Insertion of a Percutaneous
Suprapubic Cystostomy Catheter 212
Results 212
Comments 213
Discussion 213
References 216
22 Grafts for One Stage Repair
Seif Asheiry, Ahmed T. Hadidi 217
Preputial Skin Graft 217
Buccal Mucosa Graft 219
Surgical Technique 220
Onlay Patch 221
Tube Urethroplasty 221
Compound Tube 221
Clinical Experience and Results 221
Bladder Mucosal Grafts 222
Surgical Technique 222
Results 223
Editorial Comments 223
References 223
23 Two Stage Urethroplasty
Madan Samuel, Patrick G. Duffy 225
Free Full Thickness Wolfe Graft 225
Introduction 225
Graft Material and Biology 225
Full Thickness Skin Free Graft (Wolfe). 225
Buccal Mucosa Free Graft 225
Bladder Mucosa 226
Operative Technique 226
First Stage 226
Second Stage 233
Complications 233
First stage 233
Second Stage 234
Vascularised Preputial Skin Onlay Graft 234
Introduction 234
Operative Technique (Dundee Modification
of the Bretteville Procedure) 234
First Stage 234
Second Stage 235
Dundee Modification 235
Complications 235
Comments 235
References 235
Contents
24 Protective Intermediate Layer
Ahmed T. Hadidi 237
Skin De epithelialisation 237
The Tunica Vaginalis Flap 237
The Dorsal Subcutaneous Flap 240
The Dartos Flap 240
External Spermatic Fascia Flap 240
Fibrin Sealants 241
References 241
25 Procedures to Improve the Appearance
of the Meatus and Glans
Ahmed T. Hadidi, Mahmoud Zaher 243
Y V Glanuloplasty 245
Surgical Technique 245
Step 1: Y shaped Incision of the Glans . 245
Step 2: V Excision of the Tip
of the Neourethra 249
Step 3: Glanuloplasty and Meatoplasty . 249
Results and Complications 249
References 249
26 Penoscrotal Transposition Associated
With Hypospadias
Amir F. Azmy 251
Mori Ikoma Technique 252
Shanberg Rosenberg Technique 252
Bifid Scrotum 254
Penile Torsion 255
References 255
27.7 Flaps Versus Grafts
Ahmed T. Hadidi 257
Flaps 257
Grafts 257
References 258
27.2 Single Stage Versus Two Stage Repair
Ahmed T. Hadidi 261
Thiersch Duplay Technique as Modified
by Byars and Durham Smith 262
First Stage 262
Second Stage 262
Results 266
Denis Browne Technique 266
Results 267
References 267
27.3 Stenting Versus No Stenting
Ahmed T. Hadidi 269
27.4 Dressing Versus No Dressing
Ahmed T. Hadidi 271
III Complications and Late Sequelae ... 273
28.7 Early Complications
Ahmed T. Hadidi, Wael El Saied 275
Infection 275
Meatal Stenosis 275
Loss of Skin Flaps 275
Oedema 275
Haemorrhage 275
Erection 275
Retrusive Meatus 276
Bladder Spasm 276
Catheter Blockage 276
References 276
28.2 Fistula Repair
Ahmed T. Hadidi 277
Incidence of Fistula Formation 277
Causes of Fistula Formation 277
Fistula Prevention 277
Types and Sites of Fistula 278
Treatment of Fistula 278
References 282
28.3 Cecil Culp Operation
Amir F. Azmy 283
Modifications 283
References 283
28.4 Modified Cecil Culp Technique for Repair
of Urethrocutaneous Fistula
Christopher S. Cooper, Charles E. Hawtrey 289
Introduction and Patient Selection 289
Preoperative Evaluation 289
Operative Technique 290
Modifications of Original Technique 290
Results 292
Complications 292
References 293
29 Meatal Stenosis and Urethral Strictures
After Hypospadias Surgery
Pat Malone 295
Introduction 295
Aetiology and Prevention 295
Meatal Stenosis 295
Urethral Stricture 296
Presentation and Assessment 296
Treatment 298
Conclusions 299
References 300
30 Urethral Diverticula
and Acquired Megalourethra
Paolo Caione, Simona Nappo 301
31 Management of Failed Hypospadias Repairs
Pierre Mouriquand, Pierre Yves Mure,
Smart Zeidan, Thomas Gelas 305
Introduction 305
The Principles of Hypospadias Re do Surgery 306
Ascertainment and Correction of Chordee 306
Repeated Urethroplasty 306
Reconstruction of the Ventral Radius
of the Penis 307
Preoperative Care 307
Postoperative Care and Follow up 307
The Various Techniques of Re do Urethroplasty 307
The Salvage Mathieu Procedure 307
Koff Urethral Mobilisation 308
Thiersch Duplay/Snodgrass Urethroplasty 308
Onlay Island Flap Urethroplasty 308
The Asopa Duckett Tube 308
Bladder Mucosa Graft Urethroplasty 308
Buccal Mucosa Graft Urethroplasty 309
Two Stage Procedures 310
Contents XIX
Other Urethroplasties
and Composite Urethroplasties 311
References 311
32 The Long Term Consequences of Hypospadias
Christopher Woodhouse 313
Introduction 313
Surgical Results 313
Appearance 313
Voiding 315
Chordee 316
Sexual Function 317
Sexual Activity 317
Ejaculation 318
Psychological Aspects of Intercourse 318
Endocrine Function in Hypospadias 319
Fertility 319
Psychological Consequences 319
Hypospadias in Adults 320
Late Complications 320
New Adult Patients 321
References 322
33 Psychological Problems and Adjustment
Christina Del Priore, Kathleen McHugh,
Sita Picton, Elizabeth Haldane 325
Introduction 325
Specific Findings 325
Psychological Adjustment to Hypospadias 325
Childhood and Hypospadias 326
Selfhood and Genital
and Gender Awareness 326
Gender and Society 327
Gender and Behaviour 327
Gender and Parenting 328
Parental Perceptions of Maleness 328
The Phallus 328
Decision Taking, the Rights of the Child,
Law on Capacity for Consent 328
Empowerment and Partnership 329
Coping Styles 329
Pain 329
Adherence 329
Talking to Children About Elimination
Function, About Future Fertility
and Sexual Function 330
Cosmetic Challenge 330
Solution Focus and Positive Psychology .. 330
Goals for Public Policy and Research 330
References 331
Contents
34 Uncommon Conditions and Complications
Amir F. Azmy 333
Uncommon Conditions 333
Iatrogenic Hypospadias 333
Genitourinary Injuries in the Newborn ... 333
Congenital Urethrocutaneous Fistula
Without Hypospadias 333
Urethral Duplication With Hypospadias .. 334
Concealed Penis 334
Congenital Buried Penis 334
Accessory Scrotum 335
Hair Coil 335
Female Hypospadias 335
Congenital Megalourethra 336
Uncommon Complications 337
Partial Dissection of the Epithelium
of the Urethral Wall 337
Lymphoedema of the Penis
After Hypospadias Surgery 337
Adenoma After Hypospadias Repair 338
Squamous Cell Carcinoma
After Hypospadias Repair 338
Hairy Urethra 338
References 338
35 Editorial Overview of the Current Management
of Hypospadias
Ahmed T. Hadidi, Amir F. Azmy 339
Preservation of the Urethral Plate 339
Technical Surgical Details 339
Protective Intermediate Layer 339
New Methods for Glanuloplasty
and Meatoplasty 340
Single Stage Repair 340
Flaps Rather Than Grafts 340
The Role of Stenting 340
The Role of Dressing 340
Preoperative Hormonal Treatment 340
References 341
36 Potential Techniques and Future Research
Arup Ray, Amir F. Azmy 343
Microsurgical Free Tissue Transfers 343
Tissue Expansion 344
Tissue Expansion for Urethral
and Penile Reconstruction 344
Penile Enhancement 344
Liposculpturing Procedures 345
Laser Tissue Soldering for Hypospadias Repair . 345
Reconstruction of Neourethra
from Cultivated Keratinocytes 345
Harvesting Human Urothelial Cells
for Urethral Reconstruction 346
Inert Collagen Matrix for Hypospadias Repair . 346
References 346
References 349
Subject Index 371
|
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| author_GND | (DE-588)128386584 |
| building | Verbundindex |
| bvnumber | BV017448477 |
| classification_rvk | YK 9323 |
| ctrlnum | (OCoLC)471706040 (DE-599)BVBBV017448477 |
| discipline | Medizin |
| format | Book |
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| genre | (DE-588)4143413-4 Aufsatzsammlung gnd-content |
| genre_facet | Aufsatzsammlung |
| id | DE-604.BV017448477 |
| illustrated | Illustrated |
| indexdate | 2024-07-09T19:18:07Z |
| institution | BVB |
| isbn | 3540430415 |
| language | German |
| oai_aleph_id | oai:aleph.bib-bvb.de:BVB01-010511042 |
| oclc_num | 471706040 |
| open_access_boolean | |
| owner | DE-355 DE-BY-UBR DE-29 DE-19 DE-BY-UBM |
| owner_facet | DE-355 DE-BY-UBR DE-29 DE-19 DE-BY-UBM |
| physical | XXIII, 375 S. zahlr. Ill. |
| publishDate | 2004 |
| publishDateSearch | 2004 |
| publishDateSort | 2004 |
| publisher | Springer |
| record_format | marc |
| spelling | Hypospadias surgery an illustrated guide Ahmed T. Hadidi ... (ed.) Berlin [u.a.] Springer 2004 XXIII, 375 S. zahlr. Ill. txt rdacontent n rdamedia nc rdacarrier Hypospadie (DE-588)4161135-4 gnd rswk-swf Chirurgie (DE-588)4009987-8 gnd rswk-swf (DE-588)4143413-4 Aufsatzsammlung gnd-content Hypospadie (DE-588)4161135-4 s Chirurgie (DE-588)4009987-8 s DE-604 Hadidi, Ahmed Taher 1958- Sonstige (DE-588)128386584 oth Azmy, Amir F. Sonstige oth Erscheint auch als Online-Ausgabe 978-3-662-07841-9 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=010511042&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Hypospadias surgery an illustrated guide Hypospadie (DE-588)4161135-4 gnd Chirurgie (DE-588)4009987-8 gnd |
| subject_GND | (DE-588)4161135-4 (DE-588)4009987-8 (DE-588)4143413-4 |
| title | Hypospadias surgery an illustrated guide |
| title_auth | Hypospadias surgery an illustrated guide |
| title_exact_search | Hypospadias surgery an illustrated guide |
| title_full | Hypospadias surgery an illustrated guide Ahmed T. Hadidi ... (ed.) |
| title_fullStr | Hypospadias surgery an illustrated guide Ahmed T. Hadidi ... (ed.) |
| title_full_unstemmed | Hypospadias surgery an illustrated guide Ahmed T. Hadidi ... (ed.) |
| title_short | Hypospadias surgery |
| title_sort | hypospadias surgery an illustrated guide |
| title_sub | an illustrated guide |
| topic | Hypospadie (DE-588)4161135-4 gnd Chirurgie (DE-588)4009987-8 gnd |
| topic_facet | Hypospadie Chirurgie Aufsatzsammlung |
| url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=010511042&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
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