Selective Criteria and a Modified Technique of Applying "URAGPI" Technique for More Proximal Degree of Hypospadias
NCT ID: NCT03911635
Last Updated: 2020-01-09
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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UNKNOWN
NA
75 participants
INTERVENTIONAL
2020-04-01
2021-03-01
Brief Summary
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Hypospadias is the most common congenital anomaly of urogenital organs in boys, with an incidence of approximately 1 in 250 newborns. Recently, case selection has been advised to avoid possible complications and limitations \[1\]. The meatal advancement and glanuloplasty (MAGPI) procedure was first described in 1981 for the repair of distal hypospadias. An excellent surgical result requires careful case selection, avoiding cases with thin or rigid ventral para-meatal skin or a meatus too proximal or too wide. The glans wrap to support the advanced ventral urethral wall requires a solid tissue approximation in two layers to prevent regression of the meatus. Meatal stenosis can be avoided by assuring an adequate dorsal Heineke- Mikulicz tissue rearrangement and making an incision from within the urethral meatus well distally into the urethral groove. . The overall success rate with the MAGPI procedure suggests that it should continue to be used in the repair of distal hypospadias \[2\]. The advantage of Urethral advancement, Glanuloplasty, and Preputioplasty \" URAGPI\" versus MAGPI Is that A) Applicability to almost any type of distal hypospadias regardless of the severity of glanular ventriflexion.
B) Normal appearance of the penis. C) Good functional results.
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Detailed Description
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Conditions
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Study Design
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NA
SINGLE_GROUP
TREATMENT
NONE
Study Groups
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Hypospadias in children
Distal shaft hypospadias at age of 12 years or less
URAGPI technique
the Urethral Advancement, Glanuloplasty and Preputioplasty
Interventions
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URAGPI technique
the Urethral Advancement, Glanuloplasty and Preputioplasty
Eligibility Criteria
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Inclusion Criteria
Exclusion Criteria
* sever degrees of chordae
* previous surgical repair
* meatal stenosis
1 Year
12 Years
MALE
No
Sponsors
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Assiut University
OTHER
Responsible Party
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Ali Ahmed
Principal Investigator
Other Identifiers
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URAGPI in hypospadias
Identifier Type: -
Identifier Source: org_study_id
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