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Paediatrics

Urinary flow rate after TIP urethroplasty for hypospadias

A low urinary flow rate without clinical symptoms is frequently observed in boys after surgical correction of hypospadias. Whether this reduced flow rate is relevant and needs further correction is an ongoing debate, as long-term follow-up data are lacking.

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Figure 1: Tubularized incised plate (TIP) urethroplasty.

References

  1. Paulozzi, L. J. International trends in rates of hypospadias and cryptorchidism. Environ. Health Perspect. 107, 297–302 (1999).

    Article  CAS  Google Scholar 

  2. Springer, A., Krois, W. & Horcher, E. Trends in hypospadias surgery: results of a worldwide survey. Eur. Urol. 60, 1184–1189 (2011).

    Article  Google Scholar 

  3. Wolffenbuttel, K. P. et al. Abnormal urine flow in boys with distal hypospadias before and after correction. J. Urol. 176, 1733–1736 (2006).

    Article  CAS  Google Scholar 

  4. Spinoit, A. F., Poelaert, F., Groen, L. A., Van Laecke, E. & Hoebeke, P. Hypospadias repair at a tertiary care center: long-term followup is mandatory to determine the real complication rate. J. Urol. 189, 2276–2281 (2013).

    Article  Google Scholar 

  5. Andersson, M. et al. Normalized urinary flow at puberty after tubularized incised plate (TIP) urethroplasty of hypospadias in childhood. http://dx.doi.org/10.1016/j.juro.2015.06.072.

  6. [No authors listed] Timing of elective surgery on the genitalia of male children with particular reference to the risks, benefits, and psychological effects of surgery and anesthesia. Pediatrics 97, 590–594 (1996).

  7. Idzenga, T., Kok, D. J., Pel, J. J., van Mastrigt, R. & Wolffenbuttel, K. P. Is the impaired flow after hypospadias correction due to increased urethral stiffness? J. Pediatr. Urol. 2, 299–303 (2006).

    Article  Google Scholar 

  8. Lopes, J. F., Schned, A., Ellsworth, P. I. & Cendron, M. Histological analysis of urethral healing after tubularized incised plate urethroplasty. J. Urol. 166, 1014–1017 (2001).

    Article  CAS  Google Scholar 

  9. Szabo, L. & Fegyverneki, S. Maximum and average urine flow rates in normal children—the Miskolc nomograms. Br. J. Urol. 76, 16–20 (1995).

    Article  CAS  Google Scholar 

  10. Springer, A. Assessment of outcome in hypospadias surgery—a review. Front. Pediatr. 2, 2 (2014).

    Article  Google Scholar 

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Correspondence to Piet Hoebeke.

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The authors declare no competing financial interests.

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Spinoit, AF., Hoebeke, P. Urinary flow rate after TIP urethroplasty for hypospadias. Nat Rev Urol 12, 477–478 (2015). https://doi.org/10.1038/nrurol.2015.192

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