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Hybrid Duckett vs Modified Duckett Urethroplasty for Proximal Hypospadias

Not Applicable
Recruiting
Conditions
Proximal Hypospadias
Modified Duckett Urethroplasty
Interventions
Procedure: Duckett urethroplasty
Registration Number
NCT06598215
Lead Sponsor
Tanta University
Brief Summary

proximal hypospadias presents a serious anomaly for both infants and their care givers. a variety of techniques were described through decades. None of them is completely curable. hundred of modifications were adopted to the original techniques. during the current study, we will do hybrid Duckett urethroplasty which is a staged procedure and compare it to modified Duckett urethroplasty which is a single stage procedure.

Detailed Description

two groups of infants diagnosed with proximal hypospadias will be allocated in two groups. group A will include cases of who will be operated upon using hybrid Duckett urethroplasty. group B will include patients who will be operated upon using modified duckett urethroplasty.

recruitment in either group will be done using sealed envelop method. in group A patient will have a double face Duckett tube which will be transferred to the ventral of the penis. the tube will be secured in place however, no proximal anastomosis with the meatus. the anastomosis will be scheduled six months later. In group B patients a double face Duckett tube will be transferred to the ventral aspect of the penis with completion of the anastomosis with the proximal meatus at the same session. the primary out come will be completion of the procedure and restoration of the urethral continuity. secondary out come will the cosmetic appearance

Recruitment & Eligibility

Status
RECRUITING
Sex
Male
Target Recruitment
43
Inclusion Criteria
  • all infants and children with proximal hypospadias
Exclusion Criteria
  • disorders of sex developments
  • previous penile surgery
  • circumcised children
  • crippled penis
  • refusal of the plan of the management by the care givers

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
group A hybrid Duckett urethroplastyDuckett urethroplasty-
group B modified Duckett urethroplastyDuckett urethroplasty-
Primary Outcome Measures
NameTimeMethod
repair of proximal hypospadias without fistulasix months post operative

strong strait stream of urine, no fistula formation, no urethral stricture

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Tanta University Hospitals

🇪🇬

Tanta, Elgharbeya, Egypt

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