1: Asian J Surg. 2006 Jul;29(3):180-4.
Urethral advancement and glanuloplasty with V flap of the glans in the repair of anterior hypospadias.
Roodsari SS, Mulaeian M, Hiradfar M.
Department of Pediatric Surgery, Mashhad University of Medical Sciences, Mashhad, Iran. sheikh-hos[at]mums.ac.ir
BACKGROUND: Hypospadias is a common urethral anomaly in boys. More than 65% of hypospadias cases are anterior (glanular, coronal and distal penile shaft). More than 200 original techniques have been applied to correct hypospadias. Each of these techniques has some complications, the most common of which are fistula and meatal stenosis. METHODS: A total of 74 boys with anterior hypospadias underwent the procedure of urethral advancement and glanuloplasty (UAGP) with V flap of the glans in our medical centres between March 1994 and March 2000. The procedure included degloving, correction of chordee, urethral mobilization and glans plasty. RESULTS: Cosmetic results were excellent in most patients. There was no fistula, and meatal stenosis was also not observed after applying V flap of the glans. In a 1-6-year follow-up (mean +/- SD, 3.15 +/- 1.79 years), the results, functionally and cosmetically, were satisfactory in all cases, with no long-term complication or chordee. CONCLUSION: Our findings suggest that UAGP is an excellent technique for repairing anterior hypospadias with satisfactory results and low complication rate.
1 : THE JOURNAL OF QAZVIN UNIVERSITY OF MEDICAL SCIENCES AND HEALTH SERVICES Spring 2006; 10():133-136.
CONGENITAL POUCH COLON WITH IMPERFORATE ANUS; A REPORT OF 3 CASES
SADEGHIPOUR ROODSARY S.*,HIRADFAR M.,ZABOLINEJAT N.,ALAMDARAN S.A.
Congenital pouch colon (CPC) is an unusual condition in imperforate anus (IA), usually of high variety. This malformation is mostly reported from India, where it comprises about 7% of all anorectal malformations. In this anomaly, the normal colon is very short or absent and is replaced by a pouch like dilatation that usually communicates through a fistula with genitourinary tract or persistent cloaca. We are reporting on three cases of newborns (2 females, and 1 male) with this anomaly diagnosed during September 2001 to September 2004. These three cases comprise less than 3% of all cases of IA during this time period. The two girls had anorectal agenesia, short segment of colon and a pouch with vaginal fistula and persistent cloaca (Type II). Colon in the third case was replaced by a dilated pouch that communicated with a wide fistula to the bladder (Type I). This is very important for pediatric surgeons to be aware of the features of this condition to allow for proper diagnosis and surgical management.
Keyword: Pouch Colon, Imperforate Anus, Anorectal Malformation
