Evidence map›Paper›PMID 39901150›Full record

ArticleBMC urology2025

Chordee and hooded prepuce with no hypospadias; outcome of urethral preservation surgery with spongioplasty.

Mazen O Kurdi

Abstract read
In one paragraph

Article in BMC urology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

1 author.

Mazen O KurdiDivision of Pediatric Surgery, Department of Surgery, King Abdulaziz University Hospital, faculty of medicine, King Abdulaziz University, Jeddah, SA, Saudi Arabia. mokurdi@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDeficient ventral prepuce is a rare anomaly of prepuce with normally situated meatus. It is usually associated with this or hypoplastic urethra.

methodsA retrospective study included all infants diagnosed with a ventrally hooded prepuce. A penile degloving was the first step. Then reinforcement of the hypoplastic urethra by spongioplasty was performed. Sleeve resection of the hooded prepuce and reconstruction of sulcus corona was the last step.

resultsThe mean operative time was 44 ± 9.5 min. A hypoplastic urethra was reported in 35 cases (30.4%). A urethral stent was inserted at the beginning of the procedure and removed at the end. Twelve patients (10.4%) developed urethral cutaneous fistulas by the end of the first postoperative month.

conclusionA hooded ventral prepuce with ventral chordee and normally situated meatus presents a challenge for paediatric surgeons. It is usually associated with a hypoplastic urethra. Attempts should be made to correct the chordee and preserve the urethra. The preserved urethra can be reinforced with spongioplasty. Unintended urethral injuries are common during dissection. Therefore, repairing the injury, reinforcing the dartos pedicle flap, and spongioplasty are suitable options. It is possible to preserve the urethra in patients having chordee without hypospadias. Utmost care should be taken to avoid urethral injuries which are common because shaft skin is stuck to the urethral skin. Urethral injuries can be repaired primarily; however, there is a high incidence of fistula.

Indexed as

ForeskinPenisPlastic Surgery ProceduresUrethraUrologic Surgical Procedures, MaleHumansHypospadiasInfantMaleRetrospective StudiesTreatment Outcome

Identifiers

PMID39901150
PMCPMC11789308

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