Evidence map›Paper›PMID 32601982›Full record

ArticleWorld journal of urology2021

Double-face preputial island flap revisited: is it a reliable one-stage repair for severe hypospadias?

Thomas Blanc, Matthieu Peycelon, Mohammed Siddiqui, Cecile Muller, Annabel Paye-Jaouen, Alaa El-Ghoneimi

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Article in World journal of urology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Thomas BlancDepartment of Pediatric Surgery and Urology, Hôpital Robert Debré, Centre de Référence Maladies Endocriniennes de la Croissance et du Développement (CRMERC), APHP, University of Paris, Paris, France.
Matthieu PeycelonDepartment of Pediatric Surgery and Urology, Hôpital Robert Debré, Centre de Référence Maladies Endocriniennes de la Croissance et du Développement (CRMERC), APHP, University of Paris, Paris, France.
Mohammed SiddiquiDepartment of Pediatric Surgery and Urology, Hôpital Robert Debré, Centre de Référence Maladies Endocriniennes de la Croissance et du Développement (CRMERC), APHP, University of Paris, Paris, France.
Cecile MullerDepartment of Pediatric Surgery and Urology, Hôpital Robert Debré, Centre de Référence Maladies Endocriniennes de la Croissance et du Développement (CRMERC), APHP, University of Paris, Paris, France.
Annabel Paye-JaouenDepartment of Pediatric Surgery and Urology, Hôpital Robert Debré, Centre de Référence Maladies Endocriniennes de la Croissance et du Développement (CRMERC), APHP, University of Paris, Paris, France.
Alaa El-GhoneimiDepartment of Pediatric Surgery and Urology, Hôpital Robert Debré, Centre de Référence Maladies Endocriniennes de la Croissance et du Développement (CRMERC), APHP, University of Paris, Paris, France. alaa.elghoneimi@aphp.fr.ORCID http://orcid.org/0000-0001-8133-2979

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeWe have studied outcome of double-face preputial island flap (DFPIF) technique in severe types of hypospadias: penoscrotal, scrotal and perineal.

methodsWe have used DFPIF in 75 boys at a median age of 1.1 years (1.0-1.5). The meatus was penoscrotal, scrotal or perineal after de-gloving the penis. The inner face of the foreskin was used for urethroplasty and the outer face for ventral skin covering. Modifications were added: proximal anastomosis was protected by a spongioplasty; in case of urethral plate transection, we anastomosed on onlay proximal and distal segments of the flap (onlay-tube-onlay) and the tubularized part was sutured to corpus cavernosa. FU was scheduled at one month then every 3 months for a year then annually. At each consultation, the surgeon filled out a detailed cosmetic and functional sheet including flowmeter.

resultsThirty-four patients had onlay preputial flap repair with urethral plate preservation. Forty-one had the onlay-tube-onlay technique. All children had a curvature, 19 had a significant residual curvature after dissection, corrected by dorsal plication (n = 9) and ventral lengthening (n = 10). Median FU was 4.2 years (2.7-6.5). 36 children (48%) had complications and needed redo surgery: 12 fistulas, 11 diverticula, 7 meatal stenosis, 3 strictures and 2 residual curvatures. All children but three voided within the normal limits for their age.

conclusionDFPIF remains a good option for a one-stage repair of severe hypospadias. After a median of 1.8 procedures, the final success rate was 96%. The healthy well-vascularized ventral skin allows safe redo surgery when needed.

Indexed as

Surgical FlapsForeskinHumansHypospadiasInfantMaleReproducibility of ResultsRetrospective StudiesSeverity of Illness IndexUrologic Surgical Procedures, MaleCurvatureDouble facePreputial flapProximal hypospadiasSingle stage

Identifiers

PMID32601982

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.