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Komplikationen bei Hypospadiekorrekturen

Complications of hypospadias repairs

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Zusammenfassung

Die Hypospadie ist die häufigste kongenitale Fehlbildung des unteren Harntraktes und betrifft eines von 300 männlichen Neugeborenen. Über 300 verschiedene Operationstechniken wurden mittlerweile beschrieben. Gegenwärtig werden für distale Hypospadien am häufigsten das „Tubularized-incised-plate-“ und „Meatal-advancement-and-glansplasty-integrated-Verfahren“ und für proximale Formen zweizeitige Operationstechniken angewandt. Die Erfolgsraten sind in den Händen erfahrener Chirurgen hoch, jedoch wurden bisher wenig Studien zu den Langzeitergebnissen publiziert. Die häufigsten Komplikationen der Hypospadiekorrekturen umfassen urethrokutane Fisteln, Meatusstenosen und Harnröhrenstrikturen. Eine urologische Anbindung der operierten Patienten bis in die Pubertät ist wünschenswert, ebenso Studien mit standardisierter Erhebung der Langzeitergebnisse und Komplikationen.

Abstract

Hypospadias is the most common congenital abnormality of the lower urinary tract affecting one of 300 male newborns. More than 300 different surgical hypospadias repair techniques have been described. Currently, tubularized incised plate and meatal advancement and glansplasty integrated repair are the preferred techniques for distal hypospadias, whereas two-staged procedures are most frequently used in proximal forms. Success rates are high in the hands of dedicated surgeons, although studies on long-term results are sparse. The most frequent complications of hypospadias repairs include urethrocutaneous fistulas, meatal stenosis, and urethral strictures. Urological follow-up into puberty is warranted, as well as further studies with standardized reporting of long-term results and complications.

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Abbreviations

MAGPI:

„Meatal advancement and glansplasty integrated“

MZU:

Miktionszystourethrogramm

PITU:

„Preputial island tube urethroplasty“

RUG:

Retrogrades Urethrogramm

TIP:

„Tubularized incised plate“

TIPU:

„Tubularized incised plate urethroplasty“

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Einhaltung ethischer Richtlinien

Interessenkonflikt. Prof. Dr. med. Margit Fisch hat Vorträge für American Medical Systems gehalten und ist beratend bei Myopowers und Precision Medical Devices tätig. Dr. med. Michael Rink wird durch das GEROK Stipendium der Universität Hamburg gefördert. Dr. med. Armin Soave, Dr. med. Silke Riechardt und Dr. med. Oliver Engel geben keine Interessenskonflikte an. Dieser Beitrag beinhaltet keine Studien an Menschen oder Tieren.

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Authors and Affiliations

  1. Klinik und Poliklinik für Urologie, Universitätsklinikum Hamburg-Eppendorf, Martinistraße 52, 20246, Hamburg, Deutschland

    A. Soave, S. Riechardt, O. Engel, M. Rink & M. Fisch

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  1. A. Soave
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  2. S. Riechardt
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  3. O. Engel
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  4. M. Rink
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  5. M. Fisch
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Correspondence to A. Soave.

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Armin Soave und Silke Riechardt haben gleichermaßen zu dieser Arbeit beigetragen.

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Soave, A., Riechardt, S., Engel, O. et al. Komplikationen bei Hypospadiekorrekturen. Urologe 53, 1001–1005 (2014). https://doi.org/10.1007/s00120-014-3498-0

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  • DOI: https://doi.org/10.1007/s00120-014-3498-0

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