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001-es BibID:BIBFORM040148
035-os BibID:(Wos)000298488000002 (Scopus)84355163035
Első szerző:Józsa Tamás (gyermeksebész, urológus)
Cím:Double Unfurled Dartos Flap Technique in the Surgical Treatment of Recurrent Urethrocutaneous Fistulas / Tamás Józsa, István Csízy, Adrienn Csiszkó, Miklós Boros, Tamás Rőszer, Péter Nyirády
Dátum:2011
Megjegyzések:BACKGROUND: The management of recurrent urethrocutaneous fistula (RUCF) is a challenging problem that poses a serious difficulty for the hypospadias surgeon. We report here a novel technique in which a double unfurled dartos subcutaneous flap is utilized in the treatment of patients with RUCF. METHODS: We retrospectively reviewed the records of all our patients who underwent surgical treatment of urethrocutaneous fistula with this new operative method after previously failed fistula repair. The main novelty of this technique is the use of two opposite medium thickness flaps, unfurled from the inner surface of the dartos fascia and spread over the fistula and each other so as to cover the urethral suture line completely, and fixed to the surrounding corporal tissue. RESULTS: Eight patients with 11 RUCFs (with localizations varying from subcoronal to penoscrotal fistula opening) underwent surgical correction with the new method. There had previously been at least 3 recurrences in 6 of these patients, and different closure techniques had been used. RUCF diameter was <4 mm in all patients. Surgery was performed at the earliest following a 6-month healing period since the last fistula repair attempt. All of the RUCFs were repaired successfully with the technique. After a follow-up of at least 6 months, none of the 8 patients had developed recurrence of the fistula, and there were no postoperative complications. CONCLUSION: The double unfurled dartos subcutaneous flap method appears to be a simple and appropriate procedure with which to repair recurrent mid-shaft and proximal urethral fistulas after failed hypospadias repair.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
Megjelenés:Urologia Internetionalis. - 87 : 4 (2011), p. 380-384. -
További szerzők:Csízy István (1948-) (gyermekgyógyász, gyermeksebész) Csiszkó Adrienn Boros Miklós Röszer Tamás (1979-) (orvos, biológus) Nyirády Péter
Internet cím:Intézményi repozitóriumban (DEA) tárolt változat
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001-es BibID:BIBFORM031843
Első szerző:Józsa Tamás (gyermeksebész, urológus)
Cím:Decreased incidence of appendix testis in cryptorchidism with intraoperativesurvey / Józsa Tamás, Csízy István, Kutasy Balázs, Cserni Tamás, Flaskó Tibor
Dátum:2008
ISSN:0042-1138
Megjegyzések:Several authors have investigated the backgroundof the process of testicular descent, but the role ofthe appendix testis has not been studied. The human appendixtestis was found to express both estrogen and androgenreceptors. We determined and compared the occurrenceof testicular appendices intraoperatively in descendedand undescended testes. Methods: The number of appendixtestis was evaluated retrospectively in 208 boys who underwentuni- or bilateral orchiopexy, hydrocele or hernia repairand the testis was visible during operation. Results: Theincidence of appendix testis was 76% (78 in 103) in descendedand 24% (30 in 125) in undescended testes. Mean age atorchiopexy was lower in patients without appendix testis (39months) compared to those patients who were found withappendix (61 months). Conclusion: The incidence of appendixtestis was significantly lower (p ! 0.05) in undescendedtestes, suggesting that the appendix testis might play a rolein the process of testicular descent.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
Appendix testis
egyetemen (Magyarországon) készült közlemény
undescended testis
testicular descent
Megjelenés:Urologia Internationalis. - 80 : 3 (2008), p. 317-320. -
További szerzők:Csízy István (1948-) (gyermekgyógyász, gyermeksebész) Kutasy Balázs Cserni Tamás (1967-) (gyermeksebész) Flaskó Tibor (1960-) (urológus)
Internet cím:DOI
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