The Experts below are selected from a list of 3210 Experts worldwide ranked by ideXlab platform
Ali Reza Alam Sahebpor - One of the best experts on this subject based on the ideXlab platform.
-
Proximal hypospadias with severe Chordee: single stage repair using corporeal tunica vaginalis free graft.
The Journal of urology, 2007Co-Authors: Abdol-mohammad Kajbafzadeh, Hamid Arshadi, Seyedmehdi Payabvash, Amirali Hassanzadeh Salmasi, Vahid Najjaran-tousi, Ali Reza Alam SahebporAbstract:We report the results of corporeal tunica vaginalis free graft for single stage correction of severe Chordee in children with proximal hypospadias. A total of 18 children with proximal hypospadias and severe Chordee underwent tunica vaginalis free graft for correction of Chordee and urethroplasty. The graft was anastomosed to the ventral surface of the corpus cavernosum to correct severe penile curvature without dorsal plication of the corpus cavernosum. Single stage urethroplasty was then performed. In cases where the urethral plate was too short for urethral reconstruction a transverse preputial island flap was used for single stage urethroplasty. If the incised urethral plate did not have a well vascularized and supple appearance or the prepuce was not sufficient for phallic coverage, we transected the urethral plate and staged urethroplasty was done. Mean followup was 27.5 months. In 13 patients ventral Chordee was corrected using tunica vaginalis free graft without transecting the urethral plate, and urethroplasty was performed in 1 stage. In 3 patients the urethral plate was transected and a transverse preputial island flap was used for single stage urethroplasty. In 2 patients the urethral plate was transected and interposed with dermal graft and tunica vaginalis free graft, followed by staged urethroplasty. There was mild residual Chordee in 2 cases. One child had a urethrocutaneous fistula at 2 weeks postoperatively, and 1 presented with obstructive pattern uroflowmetry due to meatal stenosis. In this preliminary report the majority of patients with proximal hypospadias and severe Chordee were successfully treated with single stage repair using tunica vaginalis free graft for correction of severe Chordee.
-
Proximal Hypospadias With Severe Chordee: Single Stage Repair Using Corporeal Tunica Vaginalis Free Graft
Journal of Urology, 2007Co-Authors: Abdol-mohammad Kajbafzadeh, Hamid Arshadi, Seyedmehdi Payabvash, Amirali Hassanzadeh Salmasi, Vahid Najjaran-tousi, Ali Reza Alam SahebporAbstract:Purpose: We report the results of corporeal tunica vaginalis free graft for single stage correction of severe Chordee in children with proximal hypospadias.Materials and Methods: A total of 18 children with proximal hypospadias and severe Chordee underwent tunica vaginalis free graft for correction of Chordee and urethroplasty. The graft was anastomosed to the ventral surface of the corpus cavernosum to correct severe penile curvature without dorsal plication of the corpus cavernosum. Single stage urethroplasty was then performed. In cases where the urethral plate was too short for urethral reconstruction a transverse preputial island flap was used for single stage urethroplasty. If the incised urethral plate did not have a well vascularized and supple appearance or the prepuce was not sufficient for phallic coverage, we transected the urethral plate and staged urethroplasty was done.Results: Mean followup was 27.5 months. In 13 patients ventral Chordee was corrected using tunica vaginalis free graft with...
Michaelene Ribbeck - One of the best experts on this subject based on the ideXlab platform.
-
Successful Use of Tunica Vaginalis Grafts for Treatment of Severe Penile Chordee in Children
The Journal of Urology, 2003Co-Authors: Mitchell L Ritchey, Michaelene RibbeckAbstract:ABSTRACTPurpose: Prior reports have suggested that tunica vaginalis free grafts for the treatment of Chordee are associated with a high failure rate and residual curvature. We reviewed our experience with tunica vaginalis free grafts for the treatment of severe Chordee associated with scrotal and perineal hypospadias.Materials and Methods: The records of 25 children with scrotal or perineal hypospadias associated with severe ventral Chordee requiring a corporal graft to straighten the phallus treated from 1996 to 2001 were reviewed. Of the cases 5 were reoperative due to prior failed urethroplasty and residual Chordee. All patients undergoing primary surgery received testosterone treatment preoperatively. Dermis was used in 3 patients, small intestinal submucosa in 3 and a free graft of tunica vaginalis in the remaining 19. One child had 2 tunica grafts placed at the same setting to correct the Chordee.Results: Patient age ranged from 5 months to 16 years (median 8 months). All patients have been followed...
-
Successful use of tunica vaginalis grafts for treatment of severe penile Chordee in children.
The Journal of urology, 2003Co-Authors: Mitchell L Ritchey, Michaelene RibbeckAbstract:Prior reports have suggested that tunica vaginalis free grafts for the treatment of Chordee are associated with a high failure rate and residual curvature. We reviewed our experience with tunica vaginalis free grafts for the treatment of severe Chordee associated with scrotal and perineal hypospadias. The records of 25 children with scrotal or perineal hypospadias associated with severe ventral Chordee requiring a corporal graft to straighten the phallus treated from 1996 to 2001 were reviewed. Of the cases 5 were reoperative due to prior failed urethroplasty and residual Chordee. All patients undergoing primary surgery received testosterone treatment preoperatively. Dermis was used in 3 patients, small intestinal submucosa in 3 and a free graft of tunica vaginalis in the remaining 19. One child had 2 tunica grafts placed at the same setting to correct the Chordee. Patient age ranged from 5 months to 16 years (median 8 months). All patients have been followed for a minimum of 1 year and a maximum of 5 years. All patients completed stage 2 repair of the hypospadias at which artificial erection was performed to detect residual ventral curvature. In only 1 patient with a prior failed hypospadias repair was there evidence of recurrent Chordee after tunica vaginalis graft placement. This patient was treated with a dorsal plication at the time of urethroplasty. No other patient had evidence of residual or recurrent Chordee. In our hands, tunica vaginalis grafting of the corpora has produced excellent results. It is a readily available material and easy to harvest in patients who require extensive perineal dissection at the first operation. Long-term followup of these children as they progress through puberty is needed.
-
Hypospadias/Chordee SUCCESSFUL USE OF TUNICA VAGINALIS GRAFTS FOR TREATMENT OF SEVERE PENILE Chordee IN CHILDREN
2003Co-Authors: Mitchell L Ritchey, Michaelene RibbeckAbstract:Purpose: Prior reports have suggested that tunica vaginalis free grafts for the treatment of Chordee are associated with a high failure rate and residual curvature. We reviewed our experience with tunica vaginalis free grafts for the treatment of severe Chordee associated with scrotal and perineal hypospadias. Materials and Methods: The records of 25 children with scrotal or perineal hypospadias associated with severe ventral Chordee requiring a corporal graft to straighten the phallus treated from 1996 to 2001 were reviewed. Of the cases 5 were reoperative due to prior failed urethroplasty and residual Chordee. All patients undergoing primary surgery received testosterone treatment preoperatively. Dermis was used in 3 patients, small intestinal submucosa in 3 and a free graft of tunica vaginalis in the remaining 19. One child had 2 tunica grafts placed at the same setting to correct the Chordee. Results: Patient age ranged from 5 months to 16 years (median 8 months). All patients have been followed for a minimum of 1 year and a maximum of 5 years. All patients completed stage 2 repair of the hypospadias at which artificial erection was performed to detect residual ventral curvature. In only 1 patient with a prior failed hypospadias repair was there evidence of recurrent Chordee after tunica vaginalis graft placement. This patient was treated with a dorsal plication at the time of urethroplasty. No other patient had evidence of residual or recurrent Chordee. Conclusions: In our hands, tunica vaginalis grafting of the corpora has produced excellent results. It is a readily available material and easy to harvest in patients who require extensive perineal dissection at the first operation. Long-term followup of these children as they progress through puberty is needed.
Abdol-mohammad Kajbafzadeh - One of the best experts on this subject based on the ideXlab platform.
-
Proximal hypospadias with severe Chordee: single stage repair using corporeal tunica vaginalis free graft.
The Journal of urology, 2007Co-Authors: Abdol-mohammad Kajbafzadeh, Hamid Arshadi, Seyedmehdi Payabvash, Amirali Hassanzadeh Salmasi, Vahid Najjaran-tousi, Ali Reza Alam SahebporAbstract:We report the results of corporeal tunica vaginalis free graft for single stage correction of severe Chordee in children with proximal hypospadias. A total of 18 children with proximal hypospadias and severe Chordee underwent tunica vaginalis free graft for correction of Chordee and urethroplasty. The graft was anastomosed to the ventral surface of the corpus cavernosum to correct severe penile curvature without dorsal plication of the corpus cavernosum. Single stage urethroplasty was then performed. In cases where the urethral plate was too short for urethral reconstruction a transverse preputial island flap was used for single stage urethroplasty. If the incised urethral plate did not have a well vascularized and supple appearance or the prepuce was not sufficient for phallic coverage, we transected the urethral plate and staged urethroplasty was done. Mean followup was 27.5 months. In 13 patients ventral Chordee was corrected using tunica vaginalis free graft without transecting the urethral plate, and urethroplasty was performed in 1 stage. In 3 patients the urethral plate was transected and a transverse preputial island flap was used for single stage urethroplasty. In 2 patients the urethral plate was transected and interposed with dermal graft and tunica vaginalis free graft, followed by staged urethroplasty. There was mild residual Chordee in 2 cases. One child had a urethrocutaneous fistula at 2 weeks postoperatively, and 1 presented with obstructive pattern uroflowmetry due to meatal stenosis. In this preliminary report the majority of patients with proximal hypospadias and severe Chordee were successfully treated with single stage repair using tunica vaginalis free graft for correction of severe Chordee.
-
Proximal Hypospadias With Severe Chordee: Single Stage Repair Using Corporeal Tunica Vaginalis Free Graft
Journal of Urology, 2007Co-Authors: Abdol-mohammad Kajbafzadeh, Hamid Arshadi, Seyedmehdi Payabvash, Amirali Hassanzadeh Salmasi, Vahid Najjaran-tousi, Ali Reza Alam SahebporAbstract:Purpose: We report the results of corporeal tunica vaginalis free graft for single stage correction of severe Chordee in children with proximal hypospadias.Materials and Methods: A total of 18 children with proximal hypospadias and severe Chordee underwent tunica vaginalis free graft for correction of Chordee and urethroplasty. The graft was anastomosed to the ventral surface of the corpus cavernosum to correct severe penile curvature without dorsal plication of the corpus cavernosum. Single stage urethroplasty was then performed. In cases where the urethral plate was too short for urethral reconstruction a transverse preputial island flap was used for single stage urethroplasty. If the incised urethral plate did not have a well vascularized and supple appearance or the prepuce was not sufficient for phallic coverage, we transected the urethral plate and staged urethroplasty was done.Results: Mean followup was 27.5 months. In 13 patients ventral Chordee was corrected using tunica vaginalis free graft with...
Mitchell L Ritchey - One of the best experts on this subject based on the ideXlab platform.
-
Successful Use of Tunica Vaginalis Grafts for Treatment of Severe Penile Chordee in Children
The Journal of Urology, 2003Co-Authors: Mitchell L Ritchey, Michaelene RibbeckAbstract:ABSTRACTPurpose: Prior reports have suggested that tunica vaginalis free grafts for the treatment of Chordee are associated with a high failure rate and residual curvature. We reviewed our experience with tunica vaginalis free grafts for the treatment of severe Chordee associated with scrotal and perineal hypospadias.Materials and Methods: The records of 25 children with scrotal or perineal hypospadias associated with severe ventral Chordee requiring a corporal graft to straighten the phallus treated from 1996 to 2001 were reviewed. Of the cases 5 were reoperative due to prior failed urethroplasty and residual Chordee. All patients undergoing primary surgery received testosterone treatment preoperatively. Dermis was used in 3 patients, small intestinal submucosa in 3 and a free graft of tunica vaginalis in the remaining 19. One child had 2 tunica grafts placed at the same setting to correct the Chordee.Results: Patient age ranged from 5 months to 16 years (median 8 months). All patients have been followed...
-
Successful use of tunica vaginalis grafts for treatment of severe penile Chordee in children.
The Journal of urology, 2003Co-Authors: Mitchell L Ritchey, Michaelene RibbeckAbstract:Prior reports have suggested that tunica vaginalis free grafts for the treatment of Chordee are associated with a high failure rate and residual curvature. We reviewed our experience with tunica vaginalis free grafts for the treatment of severe Chordee associated with scrotal and perineal hypospadias. The records of 25 children with scrotal or perineal hypospadias associated with severe ventral Chordee requiring a corporal graft to straighten the phallus treated from 1996 to 2001 were reviewed. Of the cases 5 were reoperative due to prior failed urethroplasty and residual Chordee. All patients undergoing primary surgery received testosterone treatment preoperatively. Dermis was used in 3 patients, small intestinal submucosa in 3 and a free graft of tunica vaginalis in the remaining 19. One child had 2 tunica grafts placed at the same setting to correct the Chordee. Patient age ranged from 5 months to 16 years (median 8 months). All patients have been followed for a minimum of 1 year and a maximum of 5 years. All patients completed stage 2 repair of the hypospadias at which artificial erection was performed to detect residual ventral curvature. In only 1 patient with a prior failed hypospadias repair was there evidence of recurrent Chordee after tunica vaginalis graft placement. This patient was treated with a dorsal plication at the time of urethroplasty. No other patient had evidence of residual or recurrent Chordee. In our hands, tunica vaginalis grafting of the corpora has produced excellent results. It is a readily available material and easy to harvest in patients who require extensive perineal dissection at the first operation. Long-term followup of these children as they progress through puberty is needed.
-
Hypospadias/Chordee SUCCESSFUL USE OF TUNICA VAGINALIS GRAFTS FOR TREATMENT OF SEVERE PENILE Chordee IN CHILDREN
2003Co-Authors: Mitchell L Ritchey, Michaelene RibbeckAbstract:Purpose: Prior reports have suggested that tunica vaginalis free grafts for the treatment of Chordee are associated with a high failure rate and residual curvature. We reviewed our experience with tunica vaginalis free grafts for the treatment of severe Chordee associated with scrotal and perineal hypospadias. Materials and Methods: The records of 25 children with scrotal or perineal hypospadias associated with severe ventral Chordee requiring a corporal graft to straighten the phallus treated from 1996 to 2001 were reviewed. Of the cases 5 were reoperative due to prior failed urethroplasty and residual Chordee. All patients undergoing primary surgery received testosterone treatment preoperatively. Dermis was used in 3 patients, small intestinal submucosa in 3 and a free graft of tunica vaginalis in the remaining 19. One child had 2 tunica grafts placed at the same setting to correct the Chordee. Results: Patient age ranged from 5 months to 16 years (median 8 months). All patients have been followed for a minimum of 1 year and a maximum of 5 years. All patients completed stage 2 repair of the hypospadias at which artificial erection was performed to detect residual ventral curvature. In only 1 patient with a prior failed hypospadias repair was there evidence of recurrent Chordee after tunica vaginalis graft placement. This patient was treated with a dorsal plication at the time of urethroplasty. No other patient had evidence of residual or recurrent Chordee. Conclusions: In our hands, tunica vaginalis grafting of the corpora has produced excellent results. It is a readily available material and easy to harvest in patients who require extensive perineal dissection at the first operation. Long-term followup of these children as they progress through puberty is needed.
Vahid Najjaran-tousi - One of the best experts on this subject based on the ideXlab platform.
-
Proximal hypospadias with severe Chordee: single stage repair using corporeal tunica vaginalis free graft.
The Journal of urology, 2007Co-Authors: Abdol-mohammad Kajbafzadeh, Hamid Arshadi, Seyedmehdi Payabvash, Amirali Hassanzadeh Salmasi, Vahid Najjaran-tousi, Ali Reza Alam SahebporAbstract:We report the results of corporeal tunica vaginalis free graft for single stage correction of severe Chordee in children with proximal hypospadias. A total of 18 children with proximal hypospadias and severe Chordee underwent tunica vaginalis free graft for correction of Chordee and urethroplasty. The graft was anastomosed to the ventral surface of the corpus cavernosum to correct severe penile curvature without dorsal plication of the corpus cavernosum. Single stage urethroplasty was then performed. In cases where the urethral plate was too short for urethral reconstruction a transverse preputial island flap was used for single stage urethroplasty. If the incised urethral plate did not have a well vascularized and supple appearance or the prepuce was not sufficient for phallic coverage, we transected the urethral plate and staged urethroplasty was done. Mean followup was 27.5 months. In 13 patients ventral Chordee was corrected using tunica vaginalis free graft without transecting the urethral plate, and urethroplasty was performed in 1 stage. In 3 patients the urethral plate was transected and a transverse preputial island flap was used for single stage urethroplasty. In 2 patients the urethral plate was transected and interposed with dermal graft and tunica vaginalis free graft, followed by staged urethroplasty. There was mild residual Chordee in 2 cases. One child had a urethrocutaneous fistula at 2 weeks postoperatively, and 1 presented with obstructive pattern uroflowmetry due to meatal stenosis. In this preliminary report the majority of patients with proximal hypospadias and severe Chordee were successfully treated with single stage repair using tunica vaginalis free graft for correction of severe Chordee.
-
Proximal Hypospadias With Severe Chordee: Single Stage Repair Using Corporeal Tunica Vaginalis Free Graft
Journal of Urology, 2007Co-Authors: Abdol-mohammad Kajbafzadeh, Hamid Arshadi, Seyedmehdi Payabvash, Amirali Hassanzadeh Salmasi, Vahid Najjaran-tousi, Ali Reza Alam SahebporAbstract:Purpose: We report the results of corporeal tunica vaginalis free graft for single stage correction of severe Chordee in children with proximal hypospadias.Materials and Methods: A total of 18 children with proximal hypospadias and severe Chordee underwent tunica vaginalis free graft for correction of Chordee and urethroplasty. The graft was anastomosed to the ventral surface of the corpus cavernosum to correct severe penile curvature without dorsal plication of the corpus cavernosum. Single stage urethroplasty was then performed. In cases where the urethral plate was too short for urethral reconstruction a transverse preputial island flap was used for single stage urethroplasty. If the incised urethral plate did not have a well vascularized and supple appearance or the prepuce was not sufficient for phallic coverage, we transected the urethral plate and staged urethroplasty was done.Results: Mean followup was 27.5 months. In 13 patients ventral Chordee was corrected using tunica vaginalis free graft with...