Preoperative Predictors of Distal Hypospadias Repair Outcome
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 50
- 试验地点
- 2
- 主要终点
- Functional outcome of Distal Penile Hypospadias Repair
研究概览
简要总结
Aim is : To define the preoperative parameters that may influence the results of distal hypospadias repair
详细描述
Hypospadias is a congenital deformity where the opening of the urethra (the meatus) is sited on the underside (ventral) part of the penis, anywhere from the glans to the perineum.
It occurs in 1 in 250 live male births. it is often associated with "hooded" foreskin and chordee (ventral curvature of the penis shaft).
Hypospadias can be classified according to the anatomical location of meatus:
Distal-anterior hypospadias (located on the glans or distal shaft of the penis and the most common type of hypospadias) Intermediate-middle (penile). Proximal-posterior (penoscrotal, scrotal, perineal).
Diagnosis includes a description of the local findings:
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 1 Year 至 —（Child, Adult, Older Adult）
- 性别
- Male
- 接受健康志愿者
- 否
入选标准
- •Child with distal hypospadias, uncircumcised , without meatal stenosis and no previous surgery for hypospadias
排除标准
- •Any surgical manipulation includes circumcision or meatotomy. Patient refusal to be enrolled in the research. Patient lost follow up in the first six months
研究组 & 干预措施
DPH repair outcome
Study tools (in detail, e.g., lab methods, instruments, steps, chemicals, ...): A. Preoperative preparation: All patients will be subjected to evaluation including: 1. Measurement of penile length and width (in cm). 2. The shape of glans. (clefted , incomplete ceft, flat) 3. Glans size is measured by cubic centimetres. 4. Presence or absence of chordee and its degree. 5. Urethral plate condition and it's length, width and surface area. 6. Condition of skin over the urethra. 7. Presence of penile torsion. All patients should undergo preoperative surgical fitness including; complete blood picture, prothrombin time, concentration and INR, ECG and renal function test. Prophylactic systemic antibiotics are given intraoperatively.
干预措施: Distal Penile Hypospadias (Disorder) (Procedure)
结局指标
主要结局
Functional outcome of Distal Penile Hypospadias Repair
时间窗: Six months postoperatively
Functional Outcome of Distal Hypospadias Repair. Outcome Measure Title: Post-void Residual Volume (PVR) Measured via Abdominal Ultrasound Description: Assessment of urinary function through post-void residual volume using ultrasound, reported in milliliters (mL). Time Frame: six months postoperatively.
次要结局
- Cosmetic outcome of Distal Penile Hypospadias Repair(Six months postoperatively)
- Complication Rate Following Distal Hypospadias Repair(Weekly assessments during the first month and monthly assessments for the following five months postoperatively.)
- Patient-Reported Outcomes(Six months postoperatively)
研究者
Armia Ezzat Thabet Azer
Resident physician
Assiut University