Hypospadias-associated penile curvature assessment and management: A global survey of current practice
<h3>Introduction</h3><p dir="ltr">Our goal was to assess how surgical management of hypospadias-associated penile curvature (HAPC) varies across continents, focusing on factors that influence assessment and decision-making.</p><p><br></p><h3>...
محفوظ في:
| المؤلف الرئيسي: | |
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| مؤلفون آخرون: | , , , , |
| منشور في: |
2024
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| الموضوعات: | |
| الوسوم: |
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| _version_ | 1864513520248291328 |
|---|---|
| author | Tariq O. Abbas (11247771) |
| author2 | Michael Sennert (18180433) Sibel Tiryaki (18180436) Nicolas Fernandez (1664728) Mohamed Fawzy (10724622) Ahmed Hadidi (18180439) |
| author2_role | author author author author author |
| author_facet | Tariq O. Abbas (11247771) Michael Sennert (18180433) Sibel Tiryaki (18180436) Nicolas Fernandez (1664728) Mohamed Fawzy (10724622) Ahmed Hadidi (18180439) |
| author_role | author |
| dc.creator.none.fl_str_mv | Tariq O. Abbas (11247771) Michael Sennert (18180433) Sibel Tiryaki (18180436) Nicolas Fernandez (1664728) Mohamed Fawzy (10724622) Ahmed Hadidi (18180439) |
| dc.date.none.fl_str_mv | 2024-02-13T03:00:00Z |
| dc.identifier.none.fl_str_mv | 10.1016/j.jpurol.2024.02.006 |
| dc.relation.none.fl_str_mv | https://figshare.com/articles/journal_contribution/Hypospadias-associated_penile_curvature_assessment_and_management_A_global_survey_of_current_practice/25434751 |
| dc.rights.none.fl_str_mv | CC BY 4.0 info:eu-repo/semantics/openAccess |
| dc.subject.none.fl_str_mv | Biomedical and clinical sciences Clinical sciences Paediatrics Hypospadias Penile curvature Survey Measurement Management |
| dc.title.none.fl_str_mv | Hypospadias-associated penile curvature assessment and management: A global survey of current practice |
| dc.type.none.fl_str_mv | Text Journal contribution info:eu-repo/semantics/publishedVersion text contribution to journal |
| description | <h3>Introduction</h3><p dir="ltr">Our goal was to assess how surgical management of hypospadias-associated penile curvature (HAPC) varies across continents, focusing on factors that influence assessment and decision-making.</p><p><br></p><h3>Methods</h3><p dir="ltr">Members of the European Society of Pediatric Urology (ESPU), Society of Pediatric Urology (SPU), and Hypospadias International Society (HIS) participated in an anonymous, 34-question online survey addressing pre-, intra-, and postoperative elements of HAPC evaluation and management. A selection of intraoperative photos were included in the survey to investigate the prevailing surgical approaches and identify management patterns.</p><p><br></p><h3>Results</h3><p dir="ltr">Out of the 267 participants, 38.4% of them are located in Europe. Visual estimation was the predominant approach for evaluating HAPC, although being regarded as the least dependable compared to other techniques. Surgeons who performed more than 40 cases per year were more inclined to use goniometers and had varying degrees of HAPC that were considered acceptable without requiring any correction (P < .001). Out of 58% of respondents, a significant number reported regular utilization of artificial erection tests for all categories of hypospadias. Surgeons with fewer than 10 years of expertise commonly utilized erection test as part of their regular practice. A tourniquet was employed to maintain sufficient intra-corporeal pressure, by134 (50%). 116 participants (43%) inject Saline through the corpora cavernosa through the glans, while 150 (56%) administer saline from the lateral aspect. Moreover, the decision-making process differed based on the intraoperative picture scenarios of mild to moderate penile curvature during erection testing. Contrary to temperatures ranging from 25o to 35o, decision-making in cases with less severe degrees of HAPC was uncomplicated.</p><p><br></p><h3>Conclusion</h3><p dir="ltr">This survey reveals a wide range of surgical practice patterns in the assessment and management of HAPC. To our knowledge, this global survey of HAPC practice is the largest to date and could aid in developing new guidelines in pediatric urology. These findings may also provide a foundation for future prospective multinational studies.</p><h2>Other Information</h2><p dir="ltr">Published in: Journal of Pediatric Urology<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1016/j.jpurol.2024.02.006" target="_blank">https://dx.doi.org/10.1016/j.jpurol.2024.02.006</a></p> |
| eu_rights_str_mv | openAccess |
| id | Manara2_c734a8d289947fdcc8a057fde2056a4b |
| identifier_str_mv | 10.1016/j.jpurol.2024.02.006 |
| network_acronym_str | Manara2 |
| network_name_str | Manara2 |
| oai_identifier_str | oai:figshare.com:article/25434751 |
| publishDate | 2024 |
| repository.mail.fl_str_mv | |
| repository.name.fl_str_mv | |
| repository_id_str | |
| rights_invalid_str_mv | CC BY 4.0 |
| spelling | Hypospadias-associated penile curvature assessment and management: A global survey of current practiceTariq O. Abbas (11247771)Michael Sennert (18180433)Sibel Tiryaki (18180436)Nicolas Fernandez (1664728)Mohamed Fawzy (10724622)Ahmed Hadidi (18180439)Biomedical and clinical sciencesClinical sciencesPaediatricsHypospadiasPenile curvatureSurveyMeasurementManagement<h3>Introduction</h3><p dir="ltr">Our goal was to assess how surgical management of hypospadias-associated penile curvature (HAPC) varies across continents, focusing on factors that influence assessment and decision-making.</p><p><br></p><h3>Methods</h3><p dir="ltr">Members of the European Society of Pediatric Urology (ESPU), Society of Pediatric Urology (SPU), and Hypospadias International Society (HIS) participated in an anonymous, 34-question online survey addressing pre-, intra-, and postoperative elements of HAPC evaluation and management. A selection of intraoperative photos were included in the survey to investigate the prevailing surgical approaches and identify management patterns.</p><p><br></p><h3>Results</h3><p dir="ltr">Out of the 267 participants, 38.4% of them are located in Europe. Visual estimation was the predominant approach for evaluating HAPC, although being regarded as the least dependable compared to other techniques. Surgeons who performed more than 40 cases per year were more inclined to use goniometers and had varying degrees of HAPC that were considered acceptable without requiring any correction (P < .001). Out of 58% of respondents, a significant number reported regular utilization of artificial erection tests for all categories of hypospadias. Surgeons with fewer than 10 years of expertise commonly utilized erection test as part of their regular practice. A tourniquet was employed to maintain sufficient intra-corporeal pressure, by134 (50%). 116 participants (43%) inject Saline through the corpora cavernosa through the glans, while 150 (56%) administer saline from the lateral aspect. Moreover, the decision-making process differed based on the intraoperative picture scenarios of mild to moderate penile curvature during erection testing. Contrary to temperatures ranging from 25o to 35o, decision-making in cases with less severe degrees of HAPC was uncomplicated.</p><p><br></p><h3>Conclusion</h3><p dir="ltr">This survey reveals a wide range of surgical practice patterns in the assessment and management of HAPC. To our knowledge, this global survey of HAPC practice is the largest to date and could aid in developing new guidelines in pediatric urology. These findings may also provide a foundation for future prospective multinational studies.</p><h2>Other Information</h2><p dir="ltr">Published in: Journal of Pediatric Urology<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1016/j.jpurol.2024.02.006" target="_blank">https://dx.doi.org/10.1016/j.jpurol.2024.02.006</a></p>2024-02-13T03:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1016/j.jpurol.2024.02.006https://figshare.com/articles/journal_contribution/Hypospadias-associated_penile_curvature_assessment_and_management_A_global_survey_of_current_practice/25434751CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/254347512024-02-13T03:00:00Z |
| spellingShingle | Hypospadias-associated penile curvature assessment and management: A global survey of current practice Tariq O. Abbas (11247771) Biomedical and clinical sciences Clinical sciences Paediatrics Hypospadias Penile curvature Survey Measurement Management |
| status_str | publishedVersion |
| title | Hypospadias-associated penile curvature assessment and management: A global survey of current practice |
| title_full | Hypospadias-associated penile curvature assessment and management: A global survey of current practice |
| title_fullStr | Hypospadias-associated penile curvature assessment and management: A global survey of current practice |
| title_full_unstemmed | Hypospadias-associated penile curvature assessment and management: A global survey of current practice |
| title_short | Hypospadias-associated penile curvature assessment and management: A global survey of current practice |
| title_sort | Hypospadias-associated penile curvature assessment and management: A global survey of current practice |
| topic | Biomedical and clinical sciences Clinical sciences Paediatrics Hypospadias Penile curvature Survey Measurement Management |