{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,7]],"date-time":"2026-01-07T22:51:09Z","timestamp":1767826269178,"version":"3.49.0"},"reference-count":16,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,9,23]],"date-time":"2024-09-23T00:00:00Z","timestamp":1727049600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,9,23]],"date-time":"2024-09-23T00:00:00Z","timestamp":1727049600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100004375","name":"Tel Aviv University","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100004375","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Pediatr Surg Int"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Purpose<\/jats:title>\n                <jats:p>To address the unique challenges presented by hypospadias repair in toilet-trained boys, we propose a modification to the standard stenting technique: implementation of a mid-urethral stent (MUS) extending beyond the urethroplasty, terminating distally to the sphincter mechanism. This modification upholds continence while facilitating normal voiding.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>Toilet-trained boys undergoing hypospadias repair from 2009 to 2020 were retrospectively assessed. Patients were allocated into one of two groups: \u201cContinent\u201d drainage (a short stent was placed across the urethroplasty) or \u201cincontinent\u201d drainage (a standard stent or a Foley catheter was placed). Stent- related complications (dislodgement and obstruction) and surgical outcomes were compared.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>545 children underwent hypospadias repair with 96 (17.6%) of them toilet-trained. The \u201ccontinent\u201d and \u201cincontinent\u201d groups consisted of 44 and 52 patients. No differences were found regarding age, severity of hypospadias, number of corrective procedures, operative time or surgical technique. Rates of stent-related complications did not differ. No significant difference was found regarding complications requiring additional surgery, including meatal stenosis and dehiscence. Post-operative fistula occurred in one patient in the continent group and in seven patients in the incontinent group.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>Use of a continence-preserving MUS is a safe alternative in toilet-trained patients undergoing hypospadias repair without increasing risk of complications.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00383-024-05836-4","type":"journal-article","created":{"date-parts":[[2024,9,24]],"date-time":"2024-09-24T09:30:36Z","timestamp":1727170236000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["The introduction of a mid-urethral stent for hypospadias surgery in toilet-trained children"],"prefix":"10.1007","volume":"40","author":[{"given":"Emmanuelle","family":"Seguier-Lipszyc","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew","family":"Shumaker","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kobi","family":"Stav","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna","family":"Itshak","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amos","family":"Neheman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,9,23]]},"reference":[{"issue":"2","key":"5836_CR1","doi-asserted-by":"publisher","first-page":"87","DOI":"10.1055\/s-2008-1039198","volume":"19","author":"K Fathi","year":"2009","unstructured":"Fathi K, Pint\u00e9r A (2009) Dribbling diversion in Y-V glanuloplasty modified mathieu repair. Eur J Pediatr Surg 19(2):87\u201389","journal-title":"Eur J Pediatr Surg"},{"issue":"6","key":"5836_CR2","doi-asserted-by":"publisher","first-page":"649","DOI":"10.1007\/s00787-016-0928-0","volume":"26","author":"MT Grzeda","year":"2017","unstructured":"Grzeda MT, Heron J, von Gontard A, Joinson C (2017) Effects of urinary incontinence on psychosocial outcomes in adolescence. Eur Child Adolesc Psychiatry 26(6):649\u2013658","journal-title":"Eur Child Adolesc Psychiatry"},{"key":"5836_CR3","doi-asserted-by":"publisher","DOI":"10.12703\/P6-101","author":"W Snodgrass","year":"2014","unstructured":"Snodgrass W, Bush N (2014) Recent advances in understanding\/management of hypospadias. F1000Prime Rep. https:\/\/doi.org\/10.12703\/P6-101","journal-title":"F1000Prime Rep"},{"issue":"3","key":"5836_CR4","doi-asserted-by":"publisher","first-page":"289.e1","DOI":"10.1016\/j.jpurol.2016.11.012","volume":"13","author":"W Snodgrass","year":"2017","unstructured":"Snodgrass W, Bush NC (2017) Re-operative urethroplasty after failed hypospadias repair: how prior surgery impacts risk for additional complications. J Pediatr Urol 13(3):289.e1-.e6","journal-title":"J Pediatr Urol"},{"issue":"12","key":"5836_CR5","doi-asserted-by":"publisher","first-page":"1829","DOI":"10.1053\/jpsu.2001.28853","volume":"36","author":"IS Arda","year":"2001","unstructured":"Arda IS, Mahmuto\u011flu M (2001) Urethral catheterization in hypospadias surgery: should the device enter the bladder or be made a urethral stent? J Pediatr Surg 36(12):1829\u20131831","journal-title":"J Pediatr Surg"},{"issue":"12","key":"5836_CR6","doi-asserted-by":"publisher","first-page":"1711","DOI":"10.1016\/S0022-3468(97)90511-X","volume":"32","author":"S Demirbilek","year":"1997","unstructured":"Demirbilek S, Atayurt HF (1997) One-stage hypospadias repair with stent or suprapubic diversion: which is better? J Pediatr Surg 32(12):1711\u20131712","journal-title":"J Pediatr Surg"},{"issue":"4","key":"5836_CR7","doi-asserted-by":"publisher","first-page":"1059","DOI":"10.1016\/S0022-5347(17)35180-7","volume":"151","author":"H Buson","year":"1994","unstructured":"Buson H, Smiley D, Reinberg Y, Gonzalez R (1994) Distal hypospadias repair without stents: is it better? J Urol 151(4):1059\u20131060","journal-title":"J Urol"},{"key":"5836_CR8","doi-asserted-by":"publisher","first-page":"1003","DOI":"10.1111\/j.1464-410X.2003.04513.x","volume":"92","author":"MT El-Sherbiny","year":"2003","unstructured":"El-Sherbiny MT (2003) Tubularized incised plate repair of distal hypospadias in toilet-trained children: should a stent be left? BJU Int 92:1003\u20131005","journal-title":"BJU Int"},{"issue":"2","key":"5836_CR9","doi-asserted-by":"publisher","first-page":"321","DOI":"10.1016\/S0022-5347(17)45626-6","volume":"135","author":"ME Mitchell","year":"1986","unstructured":"Mitchell ME, Kulb TB (1986) Hypospadias repair without a bladder drainage catheter. J Urol 135(2):321\u2013323","journal-title":"J Urol"},{"issue":"5","key":"5836_CR10","doi-asserted-by":"publisher","first-page":"646","DOI":"10.1016\/0002-9610(58)90466-5","volume":"96","author":"HH Corman","year":"1958","unstructured":"Corman HH, Hornick EJ, Kritchman M, Terestman N (1958) Emotional reactions of surgical patients to hospitalization, anesthesia and surgery. Am J Surg 96(5):646\u2013653","journal-title":"Am J Surg"},{"issue":"Suppl 3","key":"5836_CR11","first-page":"16","volume":"33","author":"B H\u00e4ggl\u00f6f","year":"1998","unstructured":"H\u00e4ggl\u00f6f B, Andr\u00e9n O, Bergstr\u00f6m E, Marklund L, Wendelius M (1998) Self-esteem in children with nocturnal enuresis and urinary incontinence: improvement of self-esteem after treatment. Eur Urol 33(Suppl 3):16\u201319","journal-title":"Eur Urol"},{"issue":"12","key":"5836_CR12","doi-asserted-by":"publisher","first-page":"1648","DOI":"10.1080\/08035250600752458","volume":"95","author":"G Gladh","year":"2006","unstructured":"Gladh G, Eldh M, Mattsson S (2006) Quality of life in neurologically healthy children with urinary incontinence. Acta Paediatr 95(12):1648\u20131652","journal-title":"Acta Paediatr"},{"issue":"5","key":"5836_CR13","doi-asserted-by":"publisher","first-page":"588","DOI":"10.1590\/S1677-5538.IBJU.2014.05.02","volume":"40","author":"SA Mousavi","year":"2014","unstructured":"Mousavi SA, Aarabi M (2014) Tubularized incised plate urethroplasty for hypospadias reoperation: a review and meta-analysis. Int Braz J Urol 40(5):588\u2013595","journal-title":"Int Braz J Urol"},{"key":"5836_CR14","doi-asserted-by":"publisher","first-page":"202","DOI":"10.1016\/j.urology.2017.04.056","volume":"107","author":"TM El-Karamany","year":"2017","unstructured":"El-Karamany TM, Al-Adl AM, Omar RG, Abdel Aal AM, Eldakhakhny AS, Abdelbaki SA (2017) A critical analysis of stented and unstented tubularized incised plate urethroplasty through a prospective randomized study and assessment of factors influencing the functional and cosmetic outcomes. Urology 107:202\u2013208","journal-title":"Urology"},{"issue":"4","key":"5836_CR15","doi-asserted-by":"publisher","first-page":"429","DOI":"10.1007\/s00383-012-3061-2","volume":"28","author":"S Kocherov","year":"2012","unstructured":"Kocherov S, Prat D, Koulikov D, Ioscovich A, Shenfeld OZ, Farkas A et al (2012) Outcome of hypospadias repair in toilet-trained children and adolescents. Pediatr Surg Int 28(4):429\u2013433","journal-title":"Pediatr Surg Int"},{"issue":"6","key":"5836_CR16","doi-asserted-by":"publisher","first-page":"942","DOI":"10.1111\/bju.13771","volume":"119","author":"S Garnier","year":"2017","unstructured":"Garnier S, Maillet O, Cereda B, Ollivier M, Jeandel C, Broussous S et al (2017) Late surgical correction of hypospadias increases the risk of complications: a series of 501 consecutive patients. BJU Int 119(6):942\u2013947","journal-title":"BJU Int"}],"container-title":["Pediatric Surgery International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00383-024-05836-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00383-024-05836-4\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00383-024-05836-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,12,12]],"date-time":"2024-12-12T17:17:09Z","timestamp":1734023829000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00383-024-05836-4"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,9,23]]},"references-count":16,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["5836"],"URL":"https:\/\/doi.org\/10.1007\/s00383-024-05836-4","relation":{},"ISSN":["1437-9813"],"issn-type":[{"value":"1437-9813","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,9,23]]},"assertion":[{"value":"3 September 2024","order":1,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"23 September 2024","order":2,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no competing interests.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}],"article-number":"254"}}