Has Ombrëdanne's method of hypospadic urethra reconstruction been ignored with reason?
From January 1970 to December 1979 inclusive, 193 boys (aged 2 to 16) underwent surgery for distal hypospadia using Ombredanne's method at the Department of Pediatric Surgery University Hospital Center Rijeka and at the Department of Pediatric Surgery Zagreb. Follow-up period was 7 to 20 years (mean 13.4). 20 (10.36%) subjects had post-operative organic complications and 15 (7.77%) of them required surgical correction. According to these findings, the success rate using Ombredanne's method of reconstruction of the hypospadic urethra in no way lags behind the success rate using MAGPI and Mathieu's methods as well as Preputial island flap urethroplasty for analogous cases. Out of 193 subjects who underwent surgery, 80 (41.45%) of those who were sexually mature and had normal psychosexual development were questioned. In this sample, 75 (93.75%) were satisfied with the post-operative appearance of the penis while only 5 (6.25%) were dissatisfied, 3 of which had hypoplastic penis. In 78 (97.50%) subjects questioned, the post-operative urinary squirt was normal and two of them had weak urinary squirt (2.50%), due to meatal stenosis. In conclusion, Ombredanne's method of reconstruction of the urethra in boys with distal hypospadia is equally successful as other methods used for this purpose.
Kvesić
Ante
A
Department of Pediatric Surgery, University Hospital Center, Rijeka, Croatia.
Vuckov
Sime
S
Zupancić
Bozidar
B
Bastić
Mislav
M
Jonovska
Suzana
S
Cizmić
Ante
A
Klarić
Miro
M
Bahtijarević
Zoran
Z
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005500:Follow-Up Studies; D006801:Humans; D007021:Hypospadias / Q000601:surgery*; D008297:Male; D017060:Patient Satisfaction; D019651:Plastic Surgery Procedures / Q000379:methods*; D019529:Sexuality; D016896:Treatment Outcome; D014521:Urethra / Q000473:pathology / Q000601:surgery; D014555:Urination Disorders; D013520:Urologic Surgical Procedures / Q000379:methods*