Ignite Creation Date:
2024-05-06 @ 3:21 PM
Last Modification Date:
2024-10-26 @ 1:48 PM
Study NCT ID:
NCT04605068
Status:
COMPLETED
Last Update Posted:
2020-10-27
First Post:
2020-10-09
Brief Title:
Transverse Preputial Island Flap Versus Double Faced Preputial Flap for Repair of Penoscrotal Hypospadias With Chordee
Sponsor:
dr Muhammad Abdelhafez Mahmoud MD
Organization:
Al-Azhar University
Study Overview
Official Title:
Transverse Preputial Island Flap Versus Double Faced Preputial Flap for Repair of Penoscrotal Hypospadias With Chordee A Randomized Controlled Trial
Status:
COMPLETED
Status Verified Date:
2020-10
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
DuckettvDFPF
Brief Summary:
The purpose of this study is to compare the outcomes and complications of the transverse preputial island flap Ducketts procedure to those of double-faced preputial flap DFPF for one-stage repair of penoscrotal hypospadias with chordee in addition to clinical functional evaluation by estimated urine flow
Detailed Description:
Type of study RCT
Review of literature
Different modalities of urethroplasty for repair of proximal hypospadias with chordee two-stage repair one-stage repair flap graft
Disadvantages of two-stage urethroplasty for proximal hypospadias with chordee
Merits of one-stage urethroplasty for proximal hypospadias with chordee This is a prospective randomized controlled study conducted at pediatric surgery department Al-Houssain New Damietta Al-Azhar University Hospitals from March 2014 to March 2020 on 144 male patients with penoscrotal hypospadias with chordee Patients will be investigated by routine laboratory tests for fitness for surgery All of them will undergo one-stage repair using either of 2 techniques of tubularized preputial flap Ducketts versus DFPF Written informed consent will be obtained from parents of all participants in the study
Institutes of the study
A multicenter study at Pediatric Surgery Departments Al-Azhar University hospitals in Cairo and New Damietta Number of cases One-hundred-Forty four male patients Time frame period of 6 years
Ethical Consideration
The protocol will be discussed and approved for clinical study by the Ethical Research Committee at the principal investigators hospital The procedures and the aim of the study will be clearly explained to the patient and the family A written informed consent will be obtained before enrollment of the patients into the study The family refusal to give consent for one-stage repair is respected but does not deprive the patient from getting surgical care by two-stage repair
Preoperative preparation
All patients will be subjected to history taking clinical examination and necessary laboratory investigations CBC Coagulation profile Liver and Renal Function tests Electrolytes Panel Urinalysis They will receive a dose of single broad-spectrum antibiotic 30 min-1 hour before surgery Patients will be randomly divided using the computer-generated randomization table into two equal groups each will include 72 patients Group I will undergo transverse preputial island flap Ducketts technique and Group II will undergo double-faced preputial flap DFPF Both techniques will be done by all members of the surgical team equally
Follow-up
Patients will be followed-up at OPD
Statistical Analysis
Data were collected using a data collecting sheets annexes and were analyzed using the statistical package for social sciences SPSS version 240 IBM SPSS Statistics for Windows IBM Corp Armonk NY USA Continuous variables were expressed as meanstandard deviation SD range and average and categorical variables were expressed as frequency count percentage Fishers exact test was used for comparison of frequency countspercentage A two-sided p-value 005 was considered statistically significant
Discussion
It will focus on one-stage urethroplasty using the preputial flap for proximal hypospadias with chordee The results obtained from this study will be compared between both group and with those reported in the literature
Also it will focus on results complications their management and clinical evaluation by estimated urine caliber and micturition time At the end the investigators will conclude the reconstructive technique that gives the better results and least morbidity
Review of literature
Different modalities of urethroplasty for repair of proximal hypospadias with chordee two-stage repair one-stage repair flap graft
Disadvantages of two-stage urethroplasty for proximal hypospadias with chordee
Merits of one-stage urethroplasty for proximal hypospadias with chordee This is a prospective randomized controlled study conducted at pediatric surgery department Al-Houssain New Damietta Al-Azhar University Hospitals from March 2014 to March 2020 on 144 male patients with penoscrotal hypospadias with chordee Patients will be investigated by routine laboratory tests for fitness for surgery All of them will undergo one-stage repair using either of 2 techniques of tubularized preputial flap Ducketts versus DFPF Written informed consent will be obtained from parents of all participants in the study
Institutes of the study
A multicenter study at Pediatric Surgery Departments Al-Azhar University hospitals in Cairo and New Damietta Number of cases One-hundred-Forty four male patients Time frame period of 6 years
Ethical Consideration
The protocol will be discussed and approved for clinical study by the Ethical Research Committee at the principal investigators hospital The procedures and the aim of the study will be clearly explained to the patient and the family A written informed consent will be obtained before enrollment of the patients into the study The family refusal to give consent for one-stage repair is respected but does not deprive the patient from getting surgical care by two-stage repair
Preoperative preparation
All patients will be subjected to history taking clinical examination and necessary laboratory investigations CBC Coagulation profile Liver and Renal Function tests Electrolytes Panel Urinalysis They will receive a dose of single broad-spectrum antibiotic 30 min-1 hour before surgery Patients will be randomly divided using the computer-generated randomization table into two equal groups each will include 72 patients Group I will undergo transverse preputial island flap Ducketts technique and Group II will undergo double-faced preputial flap DFPF Both techniques will be done by all members of the surgical team equally
Follow-up
Patients will be followed-up at OPD
Statistical Analysis
Data were collected using a data collecting sheets annexes and were analyzed using the statistical package for social sciences SPSS version 240 IBM SPSS Statistics for Windows IBM Corp Armonk NY USA Continuous variables were expressed as meanstandard deviation SD range and average and categorical variables were expressed as frequency count percentage Fishers exact test was used for comparison of frequency countspercentage A two-sided p-value 005 was considered statistically significant
Discussion
It will focus on one-stage urethroplasty using the preputial flap for proximal hypospadias with chordee The results obtained from this study will be compared between both group and with those reported in the literature
Also it will focus on results complications their management and clinical evaluation by estimated urine caliber and micturition time At the end the investigators will conclude the reconstructive technique that gives the better results and least morbidity
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None