Intérêt de la technique de Koyanagi dans le traitement de l’hypospadias posterieur chez l’enfant

ConclusionL’urétroplastie selon Koyanagi, est une technique intéressante pour la correction d’hypospadias postérieur surtout en cas de courbure ventrale mais avec un taux de complications assez élevé.SummaryIntroductionThe koyanagi technique because of its satisfying results and less risk of postoperative complications for the patient has generated an increasing interest during recent years.Objectivereport the indications and the results of the koyanagi technique.Subjects and MethodsThis is a descriptive retrospective study of patients admitted in the pediatric surgery's department of the EPS Monastir, Tunisia for proximal hypospadias and operated on according to Koyanagi's technique during the period from 02 january 2006 to 30 june 2013, with subsequent follow-up of at least 02 years.ResultsThe data of total 35 patients were collected. The average age at the first consultation in pediatric surgery was 12.2 months and the age at surgery was 28.8 months with extremes ranging from 12-55 months. The mean operative time was 166.1 min. The average stay at hospital was 7.9 days. Only 4 patients (11.4%) presented immediate complications. Reoperation was indicated for 23 cases and indications were by decreasing order of frequency: dehiscence (34.3%), fistula (11.4%) and dehiscence with persistent penile-scrotal transposition (2.9%). The final clinical evaluation of the surgery found that meatus was distal in the majority of cases (85.7%), two patients kept a residual curva...
Source: African Journal of Urology - Category: Urology & Nephrology Source Type: research