THE WAYS OF IMPROVEMENT OF THE METHODS OF HYPOSPADIAS TREATMENT IN CHILDREN: LITERATURE REVIEW

2019

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DOI 10.52571/ptq.v16.n33.2019.407_periodico33_pgs_392_403.pdf
Data confidence 70 medium
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Abstract

The relevance of the study is due to the fact that hypospadias is a congenital defect of the urogenital system in boys. The incidence rate of hypospadias differs in different countries. The main etiological factor of this defect development is a hormonal imbalance of different origin in mothers. Hypospadias can be corrected only surgically. Currently, there are a number of surgical approaches used, but still, the number of complications in the postoperative period remains high. The purpose of the article was to evaluate the outcomes of surgical correction of hypospadias in children observed after different approaches to urethroplasty involving transplanting. The authors performed a search for articles in electronic databases Pub Med, Elsevier, Scopus, Web of Science for the period from 2007 to 2018. The authors reviewed 265 articles dedicated to the correction of hypospadias by the following methods: TIP (tabularized incised plate), Mathieu, GTIP (graft tabularized incised plate) and two-stage Bracka urethroplasty. The most widespread complications mentioned in different studies were fistulas, stenosis of the urethral neo-meatus, and secondary deformation of the penis. Current approaches to surgical correction of hypospadias in children do not provide complete recovery from post-operative complications. Due to this fact, the issues of treatment of hypospadias remain relevant, requiring the development of new approaches to urethroplasty.