+ Site Statistics
References:
54,258,434
Abstracts:
29,560,870
PMIDs:
28,072,757
+ Search Articles
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ PDF Full Text
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Translate
+ Recently Requested

Koff's urethral mobilization: report of 26 hypospadias presenting a distal division of the corpus spongiosum



Koff's urethral mobilization: report of 26 hypospadias presenting a distal division of the corpus spongiosum



Progres en Urologie 11(6): 1327-1330



To evaluate the Koff urethral mobilization in 26 patients with distal division of the corpus spongiosum. Twenty six hypospadias underwent Koff's urethral mobilization between January 1st 1999 and January 31st 2001. All cases were performed by the senior author. The mean age at surgery was 36.3 months (14 to 117 months). All cases had a distal division of the corpus spongiosum. The mean follow-up was 4.64 months (1-24 months): Four cases (15%) presented with a penile bleeding when the dressing was removed 4 days after the procedure. One of them went back to theatre to stop the bleeding. Five (19.2%) presented with a late meatal stenosis requiring a secondary meatotomy. One had a urethral fistula which disappeared spontaneously a few months later. All had a satisfactory cosmetic result. These results are compared with other series published and it seems that a full penile urethral mobilization is a significant alternative procedure whose main advantage is to avoid the use of any non-urethral tissues to reconstruct the hypospadiac urethra. The selection of cases must be cautious to avoid secondary meatal stenosis which seems to be related to ischaemia of the distal hypoplastic urethra.

(PDF emailed within 1 workday: $29.90)

Accession: 046508864

Download citation: RISBibTeXText

PMID: 11859675


Related references

Re: Urethral advancement in hypospadias with a distal division of the corpus spongiosum: outcome in 158 cases. Journal of Urology 193(4): 1368-1369, 2015

Urethral advancement in hypospadias with a distal division of the corpus spongiosum: outcome in 158 cases. Journal of Pediatric Urology 10(3): 451-454, 2015

Meatal and corpus spongiosum advancement: a better technique for distal hypospadias repair. Pediatric Surgery International 29(6): 633-638, 2014

Urethral corpus spongiosum amyloidosis presenting with urethrorrhagia during erection. Journal of Sexual Medicine 6(10): 2915-2917, 2010

Urethral mobilization and advancement with distal triangular urethral plate flap for distal and select cases of mid shaft hypospadias: experience with 251 cases. Journal of Urology 180(1): 290-3; Discussion 293-4, 2008

Urethral mobilization for distal and mid shaft hypospadias with chordee. Journal of Urology 190(4 Suppl): 1545-1548, 2013

Urethral mobilization and advancement for midshaft to distal hypospadias. Journal of Urology 168(4 Pt 2): 1738-41; Discussion 1741, 2002

Re: Urethral mobilization and advancement for midshaft to distal hypospadias. Journal of Urology 169(5): 1799; Author Reply 1799-1799; Author Reply 1799, 2003

Urethral mobilization after koff in clinical practice. Acta Chirurgica Italica 42(1): 114-116, 1986

Analysis of 34 cases of distal hypospadias treated by modified Koff's technique. Cirugia Pediatrica 9(2): 78-80, 1996

The use of eccentric circummeatal-based flap with combined limited urethral mobilization technique for distal hypospadias repair. Plastic and Reconstructive Surgery 103(2): 525-530, 1999

Eccentric circummeatal based flap with limited urethral mobilization: An easy technique for distal hypospadias repair. Journal of Pediatric Urology 12(2): 116.E1-6, 2016

Distal hypospadias repair by the modified Thiersch-Duplay technique with or without hinging the urethral plate: A near ideal way to correct distal hypospadias. Journal of Urology 162(3 PART 2): 1156-1158, Sept, 1999

The importance of patient selection in the treatment of distal hypospadias using modified Koff procedure. Journal of Pediatric Urology 6(2): 139-142, 2012