Micturition studies in hypospadiacs. 1980

L Avellán

Micturition studies were performed pre-, inter- and postoperatively in a consecutive series comprising 148 unselected hypospadiacs, both short-term results (on average 1 3/12 years after the last operation) and long-term results (on average 6 3/12 years after the last operation) being recorded. The clinical material was subdivided into 6 age-groups and the results were compared with a control material comprising 176 males. Supernormal flow values were recorded preoperatively in 38% of hypospadiacs, normal values in 49% and subnormal in 13%. Interoperatively, after meatotomy had been performed in all hypospadiacs, normalization of the subnormal flow values was observed and supernormal values were recorded in 72% of the patients. Postoperatively, the supernormal flow values successively declined but the long-term results demonstrated supernormal values in 26% of the patients, while the remainder had normal maximum flow values. Preoperative micturition urethrocystography revealed pathological changes in 48/148: trabeculation in 29; trabeculation and diverticula in 5; and vesicoureteral reflux in 14. The highest incidence of changes was found in the age-group 4--10 years and the second highest in 2--4 years. Postoperative micturition urethrocystography revealed a successive regression of the pathological changes. The most marked regression was recorded when surgical treatment was started at the age of 2--4 years.

UI MeSH Term Description Entries
D007021 Hypospadias A birth defect due to malformation of the URETHRA in which the urethral opening is below its normal location. In the male, the malformed urethra generally opens on the ventral surface of the PENIS or on the PERINEUM. In the female, the malformed urethral opening is in the VAGINA. Hypospadia
D008297 Male Males
D011446 Prospective Studies Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group. Prospective Study,Studies, Prospective,Study, Prospective
D002648 Child A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL. Children
D002675 Child, Preschool A child between the ages of 2 and 5. Children, Preschool,Preschool Child,Preschool Children
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000367 Age Factors Age as a constituent element or influence contributing to the production of a result. It may be applicable to the cause or the effect of a circumstance. It is used with human or animal concepts but should be differentiated from AGING, a physiological process, and TIME FACTORS which refers only to the passage of time. Age Reporting,Age Factor,Factor, Age,Factors, Age
D012212 Rheology The study of the deformation and flow of matter, usually liquids or fluids, and of the plastic flow of solids. The concept covers consistency, dilatancy, liquefaction, resistance to flow, shearing, thixotrophy, and VISCOSITY. Flowmetry,Velocimetry,Velocimetries
D014554 Urination Discharge of URINE, liquid waste processed by the KIDNEY, from the body. Micturition
D014563 Urodynamics The mechanical laws of fluid dynamics as they apply to urine transport. Urodynamic

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