ESPU Congress 2018 - Abstract Book

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72 29th CONGRESS OF THE ESPU
11:15–11:18
S7-5 (PP)
INLAY BUCCAL MUCOSAL GRAFT, FIRST STAGE
HYPOSPADIAS REPAIR: FACTORS PROMOTING SUCCESS
Ezekiel Harold LANDAU1 , Mordechai DUVDEVANI2, Ofer Nathan GOFRIT2 ,
Dov PODE2, Vladimir YUTKIN2, Ofer Zeev SHENFELD3, Matan MCKEITEN2 and
Guy HIDAS1
1) Hadassah Hebrew University Medical Center, Pediatric Urology Unit, Department of Urology, Jerusalem, ISRAEL
- 2) Hadassah Hebrew University Medical Center, Department of Urology, Jerusalem, ISRAEL - 3) Shaarey Zedek
Medical Center, Department of Urology, Jerusalem, ISRAEL
PURPOSE
Buccal mucosal (BM) graft is a common surgical method used in our armamentarium of complex
hypospadias re-do surgical repair. Quality of the graft and the recipient graft bed determine graft
take following first stage, and subsequent success of future urethral tubularization (UT).
We evaluated our outcome of buccal mucosal graft take, focusing on factors responsible for re-do
grafting prior to UT.
MATERIAL AND METHODS
Themedical records of patients who underwent a first stage inlay BMhypospadias repair (FSIBMHR)
were retrospectively, reviewed. We analyzed success rate, and its association with patient's age,
graft size, piercing, donor site, and number of previous procedures.
RESULTS
Sixty-one patients (mean age 6.65 years, range 1–25) underwent first stage inlay BM hypospadias
repair in 2005–2017. Grafts were sutured to the edges of the urethral bed, and, with quilt sutures,
to its underline bed. All patients were either post ritual circumcision (10), or hypospadias failed
procedures(mean-2.3, range 1–10). Median graft size as was available from the charts of 48 pa-
tients was 25X15 mm. Forty eight grafts (78.7 %) were pierced prior to grafting. The lip served as
donor site for 34 (55.7 %) grafts, and the cheek for 24 (39.3 %). 3 (4.9 %) grafts were harvested
from both. In 10 (16.4 %) patients graft-take has partially failed and additional grafting was required.
Patients' age (p=0.123), number of prior operations (p=0.328), graft size (p=0.247), piercing
(p=0.76), and donor site (p=413) were not associated with the need for revision.
CONCLUSIONS
Re-do first stage dorsal inlay BM hypospadias repair was highly successful in our patient popula-
tion. There was no single factor significantly contributing to failure. Graft piercing, and the type of
graft donor site, were not associated with graft-take failure.
11:18–11:21
S7-6 (PP)
CHALLENGE OF POST HYPOSPADIAS REPAIR SKIN
RECONSTRUCTION:MODIFIED NEW TECHNIQUE
Mamdouh AHMED, Paradip VINCENT, Islam AMER and Islam AMER
Ibn Sina hospital, Pediatric Urology Unit, Kuwait City, KUWAIT
PURPOSE
Skin reconstrution in hypospaidas repair is challenge to all hypospaidas surgeon. We report a modi-
fied and a very easy to practice and cosmetically acceptable technique of skin closure in completely
degloved penis for hypospadias.