Literature Reviews

doi: 10.25005/2074-0581-2018-20-4-473-478
HYPOSPADIAS: THE PROBLEMS OF MANAGEMENT AND TREATMENT OF PATIENTS

G.M. Khodzhamuradov, M.M. Ismoilov, S.S. Ziyozoda, A.Kh. Shaymonov

Department of Reconstructive Surgery, Republican Scientific Center for Cardiovascular Surgery, Dushanbe, Republic of Tajikistan

The importance of the administration problems of patients with hypospadias is due not only to the high frequency of occurrence of this anomaly but also the frequent development of postoperative complications and relapses. In this literature review provides information on guidelines for the management of patients with hypospadias, the causes of unsuccessful outcomes, as well as basic information regarding the benefits of the most frequently used techniques today. The study of the literature data shows the lack of consensus on such important points as the choice of the optimal age for the operation, the use of different types of urine traps, the optimal method of covering the defect, the phasing of the operation, etc. The proposed algorithms are not consistent, sometimes contradict each other, and most of them are inconvenient to use. All of the above causes the need for new research on the optimization of the management of patients with hypospadias.

Keywords: hypospadias, congenital malformations, urinary system, relapse.

Download file:


References
  1. Rudin YuE, Marukhnenko DV, Garmanova TN. Gipospadiya u zhenshchin i devochek: obzor literatury i klinicheskiy sluchay [Hypospadias in women and girls: a review of the literature and a clinical case]. Eksperimental’naya i klinicheskaya urologiya. 2015;4:110-4.
  2. Sobennikov IS, Zhiborev BN, Kotans SYa, Cherenkov AA. Diagnostika i lechenie muzhskogo besplodiya u bol’nykh rasprostranyonnoy patologiey genitaliy i pakhovoy oblasti [Diagnosis and treatment of male infertility in patients with a common pathology of the genitals and inguinal region]. Rossiyskiy medicobiologicheskiy vestnik im. akademika I.P. Pavlova. 2017;25(3):460-4.
  3. Freitas Filho LG, Carnevale J, Leite MT, Kanasiro F, Budib LJ. Bladder acontratility after hypospadia repair. Urology Case Reports. 2018;19:25-6.
  4. Zampieri N, Bruno C, Mantovani A, Scirè G, Zambaldo S, Camoglio FS. PO-0924 elastosonography of the corpus spongiosum: comparison between normal and hypospadic anatomy. British Medical Journal. 2014;99(2):А551-А551.
  5. Surov RV, Kagantsov IM. Khirurgicheskoe lechenie gipospadii u detey: fundamental’nye osnovy i noveyshie tendentsii [Surgical treatment of hypospadias in children: the fundamentals and the latest trends]. Andrologiya i genital’naya khirurgiya. 2017;18(4):34-40.
  6. Abekenov BD, Bishmanov RK, Ashirbay KS. Metod korrektsii vyrazhennogo iskrivleniya polovogo chlena pri proksimal’noy forme gipospadii u detey [A method for correcting the expressed curvature of the penis in the proximal form of hypospadias in children]. Pediatriya zhane bala khirurgiyasy. 2016;2:37-9.
  7. Hatzinger M, Al-Shajlawi S, Sohn M. Hypospadia and infertility of Henry II of France (1519-1559). Der Urologe Ausg A. 2014;53(3):375-8.
  8. Usupbaev ACh, Kuzebaev RE, Rysbaev BA, Sadyrbekov NZh. Sravnitel’naya otsenka khirurgicheskogo lecheniya gipospadii [Comparative evaluation of surgical treatment of hypospadias]. Andrologiya i genital’naya khirurgiya. 2016;17(2):46-9.
  9. Morozov DA, Bolotova NV, Sedova LN, Zakharova NB, Ivanenko IL, Goremykin IV. Stanovlenie pubertata u mal’chikov s gipospadiey [The formation of pubertal in boys with hypospadias]. Byulleten’ meditsinskikh internetkonferentsiy. 2013;3(4):883.
  10. Kurbanov UA, Davlatov AA, Dzhanobilova SM, Kholov ShI. Opyt khirurgicheskogo lecheniya gipospadii s primeneniem pretsizionnoy tekhniki [The experience of surgical treatment of hypospadias with the use of precision technology]. Vestnik Avitsenny [Avicenna Bulletin]. 2013;1:7-14.
  11. Abekenov BD, Bishmanov RK. Korrektsiya gipospadii u detey metodom formirovaniya artifitsial’noy neouretry [Correction of hypospadias in children by the method of formation of an official neourethra]. Vestnik KazNMU. 2013;3:112-3.
  12. Esembaev BI. Optimizatsiya lecheniya gipospadii u detey v Kyrgyzskoy Respublike [Optimization of the treatment of hypospadias in children in the Kyrgyz Republic]. Problemy sovremennoy nauki i obrazovaniya. 2016;17:108-11.
  13. Kagantsov IM, Akramov NR. Primenenie izmenyonnoy taktiki khirurgicheskogo lecheniya gipospadii [Application of the changed tactics of surgical treatment of hypospadias]. Prakticheskaya meditsina. 2014;9:155-9.
  14. Rao SN, Thaman RR, Ahmed A. A clinical study of hypospadias. Int J Sci Res. 2018;7(2):1699-703.
  15. Safedov FKh, Azizov AA, Azizov BA, Atoev IK. Optimizatsiya sposobov derivatsii mochi pri anomaliyakh razvitiya mochevydelitel’noy sistemy u detey [Optimization of methods of urine diversion in abnormalities of urinary system development in children]. Vestnik Avitsenny [Avicenna Bulletin]. 2010;4:52-6.
  16. Khodzhamuradov GM, Saidov MS, Ismoilov MM. Sravnitel’nye kharakteristiki rezul’tatov khirurgicheskogo lecheniya bol’nykh s gipospadiey [Comparative characteristics of the results of surgical treatment of patients with hypospadias]. Nauchno-prakticheskiy zhurnal TIPPMK. 2013;2:205-7.
  17. Giorgadze PN, Gudzhabidze DB, Giorgadze NV, Margvelashvili TG. Printsipy predoperatsionnogo i postoperatsionnogo vedeniya bol’nykh s gipospadiey [Principles of preoperative and postoperative management of patients with hypospadias]. Georgian Medical. 2015;5:18-21.
  18. Ekmark AN, Svensson H, Arnbjörnsson E, Hansson E. Failed hypospadias repair: An algorithm for secondary reconstruction using remaining local tissue. Journal of Plastic, Reconstructive & Aesthetic Surgery. 2015;68(11):1600-9.
  19. Kröpfl D, Kunz I. Urethral reconstruction in patients with failed hypospadia repair. Der Urologe. 2018;57(1):21-8.
  20. Ruppen-Greeff NK, Weber DM, Gobet R, Landolt MA. What is a good looking penis? How women rate the penile appearance of men with surgically corrected hypospadias. J Sex Med. 2015;12(8):1737-45.
  21. Örtqvist L, Fossum M, Andersson M, Nordenström A, Frisén L, Holmdahl G, et al. Long-term follow up of men born with hypospadias: urological and cosmetic results. J Urol. 2015;193(3):975-81.
  22. Usulbaev ACh, Kuzebaev RE, Kurbanaliev RM, Rysbaev BA. Rekonstruktivnye operatsii pri porokakh razvitiya uretry i naruzhnykh polovykh organov [Reconstructive surgery for malformations of the urethra and external genitalia]. Universum: meditsina i farmakologiya. 2017;2:26-33.
  23. Satjakoesoemah AI, Yuri P, Hutasoit Y. First-stage long buccal mucosal graft (BMG) urethroplasty on adult failed hypospadia surgery repair: our initial experience. Advanced Science Letters. 2018;24(8):6151-4.
  24. Rudin YuE, Marukhnenko DV, Sayedov KM. Vybor metoda korrektsii proksimal’noy gipospadii v detskom vozraste [The choice of the method of correction of proximal hypospadias in childhood]. Eksperimental’naya i klinicheskaya urologiya. 2014;1:81-7.
  25. Rudin YuE, Marukhnenko DV, Garmanova TN, Sayedov KM. Novyy metod plastiki golovki polovogo chlena u patsientov s gipospadiey [A new method of plasty of the glans penis in patients with hypospadias]. Eksperimental’naya i klinicheskaya urologiya. 2013;1:103-8.
  26. Abdufatoev TA, Asadov SK, Boboev ZA. Rezul’taty odnomomentnoy uretroplastiki u detey s proksimal’noy gipospadiey [Results of one-stage urethroplasty in children with proximal hypospadias]. Zdravookhranenie Tadzhikistana. 2012;1:15-9.
  27. Alchinbaev M, Kussymzanov S, Kabdoldin K, Toktabayanov B, Aubakirova A. Single-step correction of hypospadia using hemostatic plate. European Research. 2015;9:90-1.
  28. Oetama H, Siregar S. tubularized incised plate urethroplasty for one-stage hypospadia repair in children at hasansadikin hospital bandung. Indonesian Journal of Urology. 2017;24(2):115-20.
  29. Aritonang J, Rodjani A, Wahyudi I. Relation between complicating factors of hypospadia and complications after TIP: A retrospective study. Indonesian Journal of Urology. 2016;23(2):112-20.
  30. Aritonang J, Rodjani A, Wahyudi I. Relation between complicating factors of hypospadia and complications after TIP: A retrospective study. Indonesian Journal of Urology. 2016;23(2):112-20.
  31. Molinaro F, Angotti R, Bindi E, Sica M, Aglianò M, Messina M, et al. Elastosonography of the corpus spongiosum: comparison between normal and hypospadic anatomy. Journal of Siena Academy of Science. 2014;7(1):112-25.
  32. Yigiter M, Salman AB. Intravesical catheter knotting: an unusual complication of suprapubic catheterization. The Turkish Journal of Pediatrics. 2016;58(4):452-3.
  33. Laura SF, Duarsa GWK, Mahadewa TG. Correlation of cystostomy to low urethrocutaneous fistula incident in hypospadia surgery. KJMS. 2014;1:2-8.
  34. Chua M, Welsh C, Jan B, Silangcruz M, Ming J, Gnech M, et al. Non-stented versus stented urethroplasty for distal hypospadias repair: A systematic review and meta-analysis. Journal of Pediatric Urology. 2018;14(3):212-9.
  35. Severgina LO, Menovshchikova LB, Korovin IA. Sovremennyy vzglyad na razvitie i lechenie gipospadii [Modern view on the development and treatment of hypospadias]. Rossiyskiy vestnik detskoy khirurgii, anesteziologii i reanimatologii. 2016;6(4):50-6.
  36. Suyadnya I, Wahyudi I, Rodjani A. Is pre-operative hormonal therapy has positive impact on hypospadia reconstruction results? Advanced Science Letters. 2018;24(8):6177-81.
  37. Shah H, Qazi UA, Gul H, Khan SA. Frequency of early complications after two staged aivarbracka (ab) repair of hypospadias. KJMS. 2015;8(3):334-8.
  38. Saavedra-Belaunde JA, Soto-Aviles O, Jorge J, Escudero K, Vazquez-Cruz M, Perez-Brayfield M. Can regional anesthesia have an effect on surgical outcomes in patients undergoing distal hypospadia surgery? Journal of Pediatric Urology. 2017;13(1):45.e1-45.
  39. Canon S, Marquette MK, Crane A, Patel A, Zamilpa I, Bai S. Prophylactic antibiotics after stented, distal hypospadias repair: randomized pilot study. Global Pediatric Health. 2018;5:1-6.

Authors informations:

Khodzhamuradov Gafur Mukhammadmukhsinovich, Doctor of Medical Sciences, Senior Researcher, Department of Reconstructive Surgery, Republican Scientific Center for Cardiovascular Surgery

Ismoilov Mukhtordzhon Marufovich, Candidate of Medical Sciences, Head of the Department of Reconstructive Surgery, Republican Scientific Center for Cardiovascular Surgery

Ziyozoda Sorboni Sayburkhondzhon, Research Assistant of the Department of Reconstructive Surgery, Republican Scientific Center for Cardiovascular Surgery

Shaymonov Aziz Khusenovich, Research Assistant, Department of Reconstructive Surgery, Republican Scientific Center for Cardiovascular Surgery

Address for correspondence:

Khodzhamuradov Gafur Mukhammadmukhsinovich

Doctor of Medical Sciences, Senior Researcher, Department of Reconstructive Surgery, Republican Scientific Center for Cardiovascular Surgery

734003, Republic of Tajikistan, Dushanbe, Sanoi str., 33

Tel.: +992 (918) 421194

E-mail: gafur@tojikiston.com