PEDURO 2015 6. National Pediatric Urology Congress

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Poster - 58

Hypospadiasis repair and liposuction for the obese patient with severe hypospadiais

Ö Çöloğlu*, M Alkan**, C Eser***, AG Karakurt**, Ü Zorludemir**
*Cukurova University Faculty of Medicine Department of Pediatric Surgery
**Cukurova University Faculty of Medicine, Department of Pediatric Surgery, Division of Pediatric Urology, Adana
***çukurova university medicine school plastic and reconstructive surgery dept

AİM:

We aimed to represent the obese patient with penoscrotal hypospadiasis and excessive pubic fat who underwent pubic liposuction and had the penile shaft evident.

 

CASE REPORT:

Obese patient with penoscrotal hypospadiasis had hypospadiasis repair gradually. Besides the methods of degloving, plication and penopubic sling pubic liposuction were performed to be able to make the penile shaft evident.

SURGİCAL TECHNIQUE:

Pubic lipectomy and liposuction are seldomly preferred methods for buried penis. Degloving, plication, chordee release, penopubic sling and z plasty were performed. The length of the penile shaft were detected and the inguinal skin greft was sutured on to the penil shaft. Finally liposuction were performed from the inguinal area with a 3mm canula.

 

RESULT:

For the patients with severe hypospadiasis when the cosmetic result is not satisfactory after the urethral meatus is carried to the anatomical place; pubic liposuction can be added to the classical methods.

DİSCUSSİON.

 Liposuction can be a choice for patients with severe hypospadiasis and excessive pubic fat for satisfactory results of cosmesis.

 

REFERENCES:

  1. Mahmood Abbas, Agnes Liard, Frederic Elbaz, B. Bachy Outcome of surgıcal management of concealed penis J Pediatr Surg 2007: 490-494
  2. I.C.C. King, A. Tahir, C. Ramanathan, and H. Siddiqui Burried Penis: Evaluation of Outcomes in Children and Adults, Modification of a Unified Treatment Algoritm, and Review of the Literature ISRN Urology 2013 article ID 109349
  3. Tack Lee, Hong-Jin Suh, Jeong-Uk Han Correcting Congenital Concealed Penis : New Pediatric Surgical Technique 
Keywords:

AGIR HIPOSPADIASLI OBEZ HASTADA HİPOSPADİAS ONARIMI VE LİPOSUCTİON

Ö Çöloğlu*, M Alkan**, C Eser***, AG Karakurt**, Ü Zorludemir**
*Çukurova Üniversitesi Tıp Fakültesi Çocuk Cerrahisi Anabilim Dalı
**Çukurova Üniversitesi Tıp Fakültesi, Çocuk Cerrahisi Anabilim Dalı, Çocuk Ürolojisi Bilim Dalı, Adana
***çukurova unv. tıp fak. plastik ve rekonstruktif cerrahi ad

AMAÇ:

Penoskrotal hipospadıaslı pubik yağlanması olan obez hastada pubik liposuction yardımı ile penil şaftı ortaya cıkardıgımız vakayı sunmayı amacladık.

 

OLGU SUNUMU:

Opere penoskrotal hipospadıaslı obez olgunun hıpospadiasının kademeli olarak düzeltilmesini takinem penil şaftı  daha görünür kılmak icin degloving, plikasyon, penopubik askı yöntemlerine ek olarak  pubik liposuction yapıldı .

 

AMELİYAT TEKNİĞİ:

Pubik lipektomi ve liposuction gömülü penis tedavisinde nadiren tercih edilen bir tekniktir. Hastaya degloving, penopubik askı, plikasyon, chordee release ve z plasti işlemleri yapıldı.  Penil şaft uzunluğu ortaya çıkarıldıktan sonra inguinal bölgeden alınan cilt grefti penil şafta sütüre edildi. Ardından 3 mm lik kanül ile inguinal bölgeden girilerek liposuction yapıldı.

SONUÇ:

Ağır hipospadiaslı vakalarda üretral mea anatomik lokalizasyona getirilmesine ragmen tatmin edici görüntü sağlanamadıysa pubik liposuction klasik yöntemlere  eklenebilir

TARTIŞMA

 Ağır hipospadiaslı hastalarda pubik yağlanma da mevcutsa kozmetik olarak daha tatminkar sonuçlar sağlamak için liposuction seçenek olabilir.

 

REFERANSLAR:

  1. Mahmood Abbas, Agnes Liard, Frederic Elbaz, B. Bachy Outcome of surgıcal management of concealed penis J Pediatr Surg 2007: 490-494
  2. I.C.C. King, A. Tahir, C. Ramanathan, and H. Siddiqui Burried Penis: Evaluation of Outcomes in Children and Adults, Modification of a Unified Treatment Algoritm, and Review of the Literature ISRN Urology 2013 article ID 109349
  3. Tack Lee, Hong-Jin Suh, Jeong-Uk Han Correcting Congenital Concealed Penis : New Pediatric Surgical Technique

A.Borsellino, A.Spagnoli, S.Vallasciani, L.Martini and F.Ferro Surgical

  1. A.Borsellino, A.Spagnoli, S.Vallasciani, L.Martini and F.Ferro Surgical Approach to Concealed Penis: tTchnical Refinements and Outcome J Urology 2007 1195-1198
  2. A.G.Warren, Z.M. Peled, L.J. Borud Surgical Correctıon of a Burried Penis Focusing on the Mons as an Anatomic Unit JPRAS 2007 ,388-392

 

 

Keywords:

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