Vacuum physiotherapy after first stage buccal mucosa graft (BMG) urethroplasty in children with proximal hypospadias

ABSTRACT Introduction To assess the feasibility of vacuum physiotherapy meant to decrease graft contraction and recurrent penile curvature (PC), hence successful tubularization and a straight penis in patients underwent two-stage buccal mucosa graft (BMG) urethroplasty, in proximal hypospadias rep...
Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Marco Bandini [verfasserIn] Sasha Sekulovic [verfasserIn] Bogdan Spiridonescu [verfasserIn] Anuj Deep Dangi [verfasserIn] Pramod Krishnappa [verfasserIn] Alberto Briganti [verfasserIn] Andrea Salonia [verfasserIn] Francesco Montorsi [verfasserIn] Rados Djinovic [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2020

Schlagwörter:	Hypospadias Mouth Mucosa Vacuum

Übergeordnetes Werk:	In: International Brazilian Journal of Urology - Sociedade Brasileira de Urologia, 2004, 46(2020), 6, Seite 1029-1041
Übergeordnetes Werk:	volume:46 ; year:2020 ; number:6 ; pages:1029-1041

Links:	Link aufrufen Link aufrufen Link aufrufen Link aufrufen Journal toc

DOI / URN:	10.1590/s1677-5538.ibju.2019.0845

Katalog-ID:	DOAJ085967580

Internformat


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520			\|a ABSTRACT Introduction To assess the feasibility of vacuum physiotherapy meant to decrease graft contraction and recurrent penile curvature (PC), hence successful tubularization and a straight penis in patients underwent two-stage buccal mucosa graft (BMG) urethroplasty, in proximal hypospadias repair. Material and methods Between January 2014 and July 2018, 59 two-stage BMG urethroplasties performed at our referral center, were included in the study. The parents were counseled to use the vacuum device between the two stages. An internal, self-administered, semiquantitative, non-validated questionnaire was designed to record parent and patient adherence to the vacuum physiotherapy and parent satisfaction. Success rate of graft tubularization, curvature correction rates, and status of early (4 months) postoperative urinary stream were evaluated. Results Of 45/59 (76.3%) who returned the questionnaire, 77.8% followed the recommended physiotherapy protocol using the vacuum device. 93.3% of parents replied that the use of the vacuum was easy or moderately easy. None of the parents interrupted the physiotherapy because of perceived difficulty or intolerability. 100% of parents would have repeated the physiotherapy, if they had to. Overall, success rate of tubularization was 98.3% (58/59), complete curvature correction was achieved in 88.2% (52/59) of patients, and 79.7% (47/59) of patients showed a straight and powerful early post-operative urinary stream. Conclusions Physiotherapy with the vacuum device is safe, easy and practically feasible. Our vacuum physiotherapy protocol had high compliance rate. Vacuum physiotherapy should be considered for further assessment in patients undergoing two stage hypospadias repair using buccal mucosa.
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allfields	10.1590/s1677-5538.ibju.2019.0845 doi (DE-627)DOAJ085967580 (DE-599)DOAJeeefac3decb942fd949f2c19f8593bc5 DE-627 ger DE-627 rakwb eng RC870-923 Marco Bandini verfasserin aut Vacuum physiotherapy after first stage buccal mucosa graft (BMG) urethroplasty in children with proximal hypospadias 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier ABSTRACT Introduction To assess the feasibility of vacuum physiotherapy meant to decrease graft contraction and recurrent penile curvature (PC), hence successful tubularization and a straight penis in patients underwent two-stage buccal mucosa graft (BMG) urethroplasty, in proximal hypospadias repair. Material and methods Between January 2014 and July 2018, 59 two-stage BMG urethroplasties performed at our referral center, were included in the study. The parents were counseled to use the vacuum device between the two stages. An internal, self-administered, semiquantitative, non-validated questionnaire was designed to record parent and patient adherence to the vacuum physiotherapy and parent satisfaction. Success rate of graft tubularization, curvature correction rates, and status of early (4 months) postoperative urinary stream were evaluated. Results Of 45/59 (76.3%) who returned the questionnaire, 77.8% followed the recommended physiotherapy protocol using the vacuum device. 93.3% of parents replied that the use of the vacuum was easy or moderately easy. None of the parents interrupted the physiotherapy because of perceived difficulty or intolerability. 100% of parents would have repeated the physiotherapy, if they had to. Overall, success rate of tubularization was 98.3% (58/59), complete curvature correction was achieved in 88.2% (52/59) of patients, and 79.7% (47/59) of patients showed a straight and powerful early post-operative urinary stream. Conclusions Physiotherapy with the vacuum device is safe, easy and practically feasible. Our vacuum physiotherapy protocol had high compliance rate. Vacuum physiotherapy should be considered for further assessment in patients undergoing two stage hypospadias repair using buccal mucosa. Hypospadias Mouth Mucosa Vacuum Diseases of the genitourinary system. Urology Sasha Sekulovic verfasserin aut Bogdan Spiridonescu verfasserin aut Anuj Deep Dangi verfasserin aut Pramod Krishnappa verfasserin aut Alberto Briganti verfasserin aut Andrea Salonia verfasserin aut Francesco Montorsi verfasserin aut Rados Djinovic verfasserin aut In International Brazilian Journal of Urology Sociedade Brasileira de Urologia, 2004 46(2020), 6, Seite 1029-1041 (DE-627)394567234 (DE-600)2160867-2 16776119 nnns volume:46 year:2020 number:6 pages:1029-1041 https://doi.org/10.1590/s1677-5538.ibju.2019.0845 kostenfrei https://doaj.org/article/eeefac3decb942fd949f2c19f8593bc5 kostenfrei http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382020000601029&tlng=en kostenfrei http://www.scielo.br/pdf/ibju/v46n6/1677-6119-ibju-46-06-1029.pdf kostenfrei https://doaj.org/toc/1677-6119 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 46 2020 6 1029-1041
spelling	10.1590/s1677-5538.ibju.2019.0845 doi (DE-627)DOAJ085967580 (DE-599)DOAJeeefac3decb942fd949f2c19f8593bc5 DE-627 ger DE-627 rakwb eng RC870-923 Marco Bandini verfasserin aut Vacuum physiotherapy after first stage buccal mucosa graft (BMG) urethroplasty in children with proximal hypospadias 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier ABSTRACT Introduction To assess the feasibility of vacuum physiotherapy meant to decrease graft contraction and recurrent penile curvature (PC), hence successful tubularization and a straight penis in patients underwent two-stage buccal mucosa graft (BMG) urethroplasty, in proximal hypospadias repair. Material and methods Between January 2014 and July 2018, 59 two-stage BMG urethroplasties performed at our referral center, were included in the study. The parents were counseled to use the vacuum device between the two stages. An internal, self-administered, semiquantitative, non-validated questionnaire was designed to record parent and patient adherence to the vacuum physiotherapy and parent satisfaction. Success rate of graft tubularization, curvature correction rates, and status of early (4 months) postoperative urinary stream were evaluated. Results Of 45/59 (76.3%) who returned the questionnaire, 77.8% followed the recommended physiotherapy protocol using the vacuum device. 93.3% of parents replied that the use of the vacuum was easy or moderately easy. None of the parents interrupted the physiotherapy because of perceived difficulty or intolerability. 100% of parents would have repeated the physiotherapy, if they had to. Overall, success rate of tubularization was 98.3% (58/59), complete curvature correction was achieved in 88.2% (52/59) of patients, and 79.7% (47/59) of patients showed a straight and powerful early post-operative urinary stream. Conclusions Physiotherapy with the vacuum device is safe, easy and practically feasible. Our vacuum physiotherapy protocol had high compliance rate. Vacuum physiotherapy should be considered for further assessment in patients undergoing two stage hypospadias repair using buccal mucosa. Hypospadias Mouth Mucosa Vacuum Diseases of the genitourinary system. Urology Sasha Sekulovic verfasserin aut Bogdan Spiridonescu verfasserin aut Anuj Deep Dangi verfasserin aut Pramod Krishnappa verfasserin aut Alberto Briganti verfasserin aut Andrea Salonia verfasserin aut Francesco Montorsi verfasserin aut Rados Djinovic verfasserin aut In International Brazilian Journal of Urology Sociedade Brasileira de Urologia, 2004 46(2020), 6, Seite 1029-1041 (DE-627)394567234 (DE-600)2160867-2 16776119 nnns volume:46 year:2020 number:6 pages:1029-1041 https://doi.org/10.1590/s1677-5538.ibju.2019.0845 kostenfrei https://doaj.org/article/eeefac3decb942fd949f2c19f8593bc5 kostenfrei http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382020000601029&tlng=en kostenfrei http://www.scielo.br/pdf/ibju/v46n6/1677-6119-ibju-46-06-1029.pdf kostenfrei https://doaj.org/toc/1677-6119 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 46 2020 6 1029-1041
allfields_unstemmed	10.1590/s1677-5538.ibju.2019.0845 doi (DE-627)DOAJ085967580 (DE-599)DOAJeeefac3decb942fd949f2c19f8593bc5 DE-627 ger DE-627 rakwb eng RC870-923 Marco Bandini verfasserin aut Vacuum physiotherapy after first stage buccal mucosa graft (BMG) urethroplasty in children with proximal hypospadias 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier ABSTRACT Introduction To assess the feasibility of vacuum physiotherapy meant to decrease graft contraction and recurrent penile curvature (PC), hence successful tubularization and a straight penis in patients underwent two-stage buccal mucosa graft (BMG) urethroplasty, in proximal hypospadias repair. Material and methods Between January 2014 and July 2018, 59 two-stage BMG urethroplasties performed at our referral center, were included in the study. The parents were counseled to use the vacuum device between the two stages. An internal, self-administered, semiquantitative, non-validated questionnaire was designed to record parent and patient adherence to the vacuum physiotherapy and parent satisfaction. Success rate of graft tubularization, curvature correction rates, and status of early (4 months) postoperative urinary stream were evaluated. Results Of 45/59 (76.3%) who returned the questionnaire, 77.8% followed the recommended physiotherapy protocol using the vacuum device. 93.3% of parents replied that the use of the vacuum was easy or moderately easy. None of the parents interrupted the physiotherapy because of perceived difficulty or intolerability. 100% of parents would have repeated the physiotherapy, if they had to. Overall, success rate of tubularization was 98.3% (58/59), complete curvature correction was achieved in 88.2% (52/59) of patients, and 79.7% (47/59) of patients showed a straight and powerful early post-operative urinary stream. Conclusions Physiotherapy with the vacuum device is safe, easy and practically feasible. Our vacuum physiotherapy protocol had high compliance rate. Vacuum physiotherapy should be considered for further assessment in patients undergoing two stage hypospadias repair using buccal mucosa. Hypospadias Mouth Mucosa Vacuum Diseases of the genitourinary system. Urology Sasha Sekulovic verfasserin aut Bogdan Spiridonescu verfasserin aut Anuj Deep Dangi verfasserin aut Pramod Krishnappa verfasserin aut Alberto Briganti verfasserin aut Andrea Salonia verfasserin aut Francesco Montorsi verfasserin aut Rados Djinovic verfasserin aut In International Brazilian Journal of Urology Sociedade Brasileira de Urologia, 2004 46(2020), 6, Seite 1029-1041 (DE-627)394567234 (DE-600)2160867-2 16776119 nnns volume:46 year:2020 number:6 pages:1029-1041 https://doi.org/10.1590/s1677-5538.ibju.2019.0845 kostenfrei https://doaj.org/article/eeefac3decb942fd949f2c19f8593bc5 kostenfrei http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382020000601029&tlng=en kostenfrei http://www.scielo.br/pdf/ibju/v46n6/1677-6119-ibju-46-06-1029.pdf kostenfrei https://doaj.org/toc/1677-6119 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 46 2020 6 1029-1041
allfieldsGer	10.1590/s1677-5538.ibju.2019.0845 doi (DE-627)DOAJ085967580 (DE-599)DOAJeeefac3decb942fd949f2c19f8593bc5 DE-627 ger DE-627 rakwb eng RC870-923 Marco Bandini verfasserin aut Vacuum physiotherapy after first stage buccal mucosa graft (BMG) urethroplasty in children with proximal hypospadias 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier ABSTRACT Introduction To assess the feasibility of vacuum physiotherapy meant to decrease graft contraction and recurrent penile curvature (PC), hence successful tubularization and a straight penis in patients underwent two-stage buccal mucosa graft (BMG) urethroplasty, in proximal hypospadias repair. Material and methods Between January 2014 and July 2018, 59 two-stage BMG urethroplasties performed at our referral center, were included in the study. The parents were counseled to use the vacuum device between the two stages. An internal, self-administered, semiquantitative, non-validated questionnaire was designed to record parent and patient adherence to the vacuum physiotherapy and parent satisfaction. Success rate of graft tubularization, curvature correction rates, and status of early (4 months) postoperative urinary stream were evaluated. Results Of 45/59 (76.3%) who returned the questionnaire, 77.8% followed the recommended physiotherapy protocol using the vacuum device. 93.3% of parents replied that the use of the vacuum was easy or moderately easy. None of the parents interrupted the physiotherapy because of perceived difficulty or intolerability. 100% of parents would have repeated the physiotherapy, if they had to. Overall, success rate of tubularization was 98.3% (58/59), complete curvature correction was achieved in 88.2% (52/59) of patients, and 79.7% (47/59) of patients showed a straight and powerful early post-operative urinary stream. Conclusions Physiotherapy with the vacuum device is safe, easy and practically feasible. Our vacuum physiotherapy protocol had high compliance rate. Vacuum physiotherapy should be considered for further assessment in patients undergoing two stage hypospadias repair using buccal mucosa. Hypospadias Mouth Mucosa Vacuum Diseases of the genitourinary system. Urology Sasha Sekulovic verfasserin aut Bogdan Spiridonescu verfasserin aut Anuj Deep Dangi verfasserin aut Pramod Krishnappa verfasserin aut Alberto Briganti verfasserin aut Andrea Salonia verfasserin aut Francesco Montorsi verfasserin aut Rados Djinovic verfasserin aut In International Brazilian Journal of Urology Sociedade Brasileira de Urologia, 2004 46(2020), 6, Seite 1029-1041 (DE-627)394567234 (DE-600)2160867-2 16776119 nnns volume:46 year:2020 number:6 pages:1029-1041 https://doi.org/10.1590/s1677-5538.ibju.2019.0845 kostenfrei https://doaj.org/article/eeefac3decb942fd949f2c19f8593bc5 kostenfrei http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382020000601029&tlng=en kostenfrei http://www.scielo.br/pdf/ibju/v46n6/1677-6119-ibju-46-06-1029.pdf kostenfrei https://doaj.org/toc/1677-6119 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 46 2020 6 1029-1041
allfieldsSound	10.1590/s1677-5538.ibju.2019.0845 doi (DE-627)DOAJ085967580 (DE-599)DOAJeeefac3decb942fd949f2c19f8593bc5 DE-627 ger DE-627 rakwb eng RC870-923 Marco Bandini verfasserin aut Vacuum physiotherapy after first stage buccal mucosa graft (BMG) urethroplasty in children with proximal hypospadias 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier ABSTRACT Introduction To assess the feasibility of vacuum physiotherapy meant to decrease graft contraction and recurrent penile curvature (PC), hence successful tubularization and a straight penis in patients underwent two-stage buccal mucosa graft (BMG) urethroplasty, in proximal hypospadias repair. Material and methods Between January 2014 and July 2018, 59 two-stage BMG urethroplasties performed at our referral center, were included in the study. The parents were counseled to use the vacuum device between the two stages. An internal, self-administered, semiquantitative, non-validated questionnaire was designed to record parent and patient adherence to the vacuum physiotherapy and parent satisfaction. Success rate of graft tubularization, curvature correction rates, and status of early (4 months) postoperative urinary stream were evaluated. Results Of 45/59 (76.3%) who returned the questionnaire, 77.8% followed the recommended physiotherapy protocol using the vacuum device. 93.3% of parents replied that the use of the vacuum was easy or moderately easy. None of the parents interrupted the physiotherapy because of perceived difficulty or intolerability. 100% of parents would have repeated the physiotherapy, if they had to. Overall, success rate of tubularization was 98.3% (58/59), complete curvature correction was achieved in 88.2% (52/59) of patients, and 79.7% (47/59) of patients showed a straight and powerful early post-operative urinary stream. Conclusions Physiotherapy with the vacuum device is safe, easy and practically feasible. Our vacuum physiotherapy protocol had high compliance rate. Vacuum physiotherapy should be considered for further assessment in patients undergoing two stage hypospadias repair using buccal mucosa. Hypospadias Mouth Mucosa Vacuum Diseases of the genitourinary system. Urology Sasha Sekulovic verfasserin aut Bogdan Spiridonescu verfasserin aut Anuj Deep Dangi verfasserin aut Pramod Krishnappa verfasserin aut Alberto Briganti verfasserin aut Andrea Salonia verfasserin aut Francesco Montorsi verfasserin aut Rados Djinovic verfasserin aut In International Brazilian Journal of Urology Sociedade Brasileira de Urologia, 2004 46(2020), 6, Seite 1029-1041 (DE-627)394567234 (DE-600)2160867-2 16776119 nnns volume:46 year:2020 number:6 pages:1029-1041 https://doi.org/10.1590/s1677-5538.ibju.2019.0845 kostenfrei https://doaj.org/article/eeefac3decb942fd949f2c19f8593bc5 kostenfrei http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382020000601029&tlng=en kostenfrei http://www.scielo.br/pdf/ibju/v46n6/1677-6119-ibju-46-06-1029.pdf kostenfrei https://doaj.org/toc/1677-6119 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 46 2020 6 1029-1041
language	English
source	In International Brazilian Journal of Urology 46(2020), 6, Seite 1029-1041 volume:46 year:2020 number:6 pages:1029-1041
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illustrated	Not Illustrated
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topic_title	RC870-923 Vacuum physiotherapy after first stage buccal mucosa graft (BMG) urethroplasty in children with proximal hypospadias Hypospadias Mouth Mucosa Vacuum
topic	misc RC870-923 misc Hypospadias misc Mouth Mucosa misc Vacuum misc Diseases of the genitourinary system. Urology
topic_unstemmed	misc RC870-923 misc Hypospadias misc Mouth Mucosa misc Vacuum misc Diseases of the genitourinary system. Urology
topic_browse	misc RC870-923 misc Hypospadias misc Mouth Mucosa misc Vacuum misc Diseases of the genitourinary system. Urology
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title	Vacuum physiotherapy after first stage buccal mucosa graft (BMG) urethroplasty in children with proximal hypospadias
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title_full	Vacuum physiotherapy after first stage buccal mucosa graft (BMG) urethroplasty in children with proximal hypospadias
author_sort	Marco Bandini
journal	International Brazilian Journal of Urology
journalStr	International Brazilian Journal of Urology
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author_browse	Marco Bandini Sasha Sekulovic Bogdan Spiridonescu Anuj Deep Dangi Pramod Krishnappa Alberto Briganti Andrea Salonia Francesco Montorsi Rados Djinovic
container_volume	46
class	RC870-923
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author-letter	Marco Bandini
doi_str_mv	10.1590/s1677-5538.ibju.2019.0845
author2-role	verfasserin
title_sort	vacuum physiotherapy after first stage buccal mucosa graft (bmg) urethroplasty in children with proximal hypospadias
callnumber	RC870-923
title_auth	Vacuum physiotherapy after first stage buccal mucosa graft (BMG) urethroplasty in children with proximal hypospadias
abstract	ABSTRACT Introduction To assess the feasibility of vacuum physiotherapy meant to decrease graft contraction and recurrent penile curvature (PC), hence successful tubularization and a straight penis in patients underwent two-stage buccal mucosa graft (BMG) urethroplasty, in proximal hypospadias repair. Material and methods Between January 2014 and July 2018, 59 two-stage BMG urethroplasties performed at our referral center, were included in the study. The parents were counseled to use the vacuum device between the two stages. An internal, self-administered, semiquantitative, non-validated questionnaire was designed to record parent and patient adherence to the vacuum physiotherapy and parent satisfaction. Success rate of graft tubularization, curvature correction rates, and status of early (4 months) postoperative urinary stream were evaluated. Results Of 45/59 (76.3%) who returned the questionnaire, 77.8% followed the recommended physiotherapy protocol using the vacuum device. 93.3% of parents replied that the use of the vacuum was easy or moderately easy. None of the parents interrupted the physiotherapy because of perceived difficulty or intolerability. 100% of parents would have repeated the physiotherapy, if they had to. Overall, success rate of tubularization was 98.3% (58/59), complete curvature correction was achieved in 88.2% (52/59) of patients, and 79.7% (47/59) of patients showed a straight and powerful early post-operative urinary stream. Conclusions Physiotherapy with the vacuum device is safe, easy and practically feasible. Our vacuum physiotherapy protocol had high compliance rate. Vacuum physiotherapy should be considered for further assessment in patients undergoing two stage hypospadias repair using buccal mucosa.
abstractGer	ABSTRACT Introduction To assess the feasibility of vacuum physiotherapy meant to decrease graft contraction and recurrent penile curvature (PC), hence successful tubularization and a straight penis in patients underwent two-stage buccal mucosa graft (BMG) urethroplasty, in proximal hypospadias repair. Material and methods Between January 2014 and July 2018, 59 two-stage BMG urethroplasties performed at our referral center, were included in the study. The parents were counseled to use the vacuum device between the two stages. An internal, self-administered, semiquantitative, non-validated questionnaire was designed to record parent and patient adherence to the vacuum physiotherapy and parent satisfaction. Success rate of graft tubularization, curvature correction rates, and status of early (4 months) postoperative urinary stream were evaluated. Results Of 45/59 (76.3%) who returned the questionnaire, 77.8% followed the recommended physiotherapy protocol using the vacuum device. 93.3% of parents replied that the use of the vacuum was easy or moderately easy. None of the parents interrupted the physiotherapy because of perceived difficulty or intolerability. 100% of parents would have repeated the physiotherapy, if they had to. Overall, success rate of tubularization was 98.3% (58/59), complete curvature correction was achieved in 88.2% (52/59) of patients, and 79.7% (47/59) of patients showed a straight and powerful early post-operative urinary stream. Conclusions Physiotherapy with the vacuum device is safe, easy and practically feasible. Our vacuum physiotherapy protocol had high compliance rate. Vacuum physiotherapy should be considered for further assessment in patients undergoing two stage hypospadias repair using buccal mucosa.
abstract_unstemmed	ABSTRACT Introduction To assess the feasibility of vacuum physiotherapy meant to decrease graft contraction and recurrent penile curvature (PC), hence successful tubularization and a straight penis in patients underwent two-stage buccal mucosa graft (BMG) urethroplasty, in proximal hypospadias repair. Material and methods Between January 2014 and July 2018, 59 two-stage BMG urethroplasties performed at our referral center, were included in the study. The parents were counseled to use the vacuum device between the two stages. An internal, self-administered, semiquantitative, non-validated questionnaire was designed to record parent and patient adherence to the vacuum physiotherapy and parent satisfaction. Success rate of graft tubularization, curvature correction rates, and status of early (4 months) postoperative urinary stream were evaluated. Results Of 45/59 (76.3%) who returned the questionnaire, 77.8% followed the recommended physiotherapy protocol using the vacuum device. 93.3% of parents replied that the use of the vacuum was easy or moderately easy. None of the parents interrupted the physiotherapy because of perceived difficulty or intolerability. 100% of parents would have repeated the physiotherapy, if they had to. Overall, success rate of tubularization was 98.3% (58/59), complete curvature correction was achieved in 88.2% (52/59) of patients, and 79.7% (47/59) of patients showed a straight and powerful early post-operative urinary stream. Conclusions Physiotherapy with the vacuum device is safe, easy and practically feasible. Our vacuum physiotherapy protocol had high compliance rate. Vacuum physiotherapy should be considered for further assessment in patients undergoing two stage hypospadias repair using buccal mucosa.
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title_short	Vacuum physiotherapy after first stage buccal mucosa graft (BMG) urethroplasty in children with proximal hypospadias
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author2	Sasha Sekulovic Bogdan Spiridonescu Anuj Deep Dangi Pramod Krishnappa Alberto Briganti Andrea Salonia Francesco Montorsi Rados Djinovic
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up_date	2024-07-03T17:54:49.594Z
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