{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T01:44:24Z","timestamp":1782956664357,"version":"3.54.5"},"reference-count":19,"publisher":null,"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,1,4]]},"abstract":"<jats:sec>\n                    <jats:title>Context:<\/jats:title>\n                    <jats:p>Hypospadias is a common urological anomaly which could be surgically corrected with good cosmetic results.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims:<\/jats:title>\n                    <jats:p>We aimed to detect changes in urinary flow parameters both before and after tubularised incised plate urethroplasty (TIPU) using uroflowmetry.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Settings and Design:<\/jats:title>\n                    <jats:p>Data collected were clinically implemented hypothesising the probability of urethrocutaneous fistula following stricture with Qmax variation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>This study is a prospective analysis done from December 2017 to October 2019. A total of 104 cases of anterior hypospadias were included in the study. A single surgical unit did TIPU. Pre-operative and post-operative uroflowmetry was done, and Qmax was recorded at 3 months, 6 months and 1 year after surgery. Mean Qmax was calculated for all intervals. A significant decrease in Qmax of a child (&lt;2 standard deviation) was ascertained. Urethral calibration was done in those cases with a significant decrease of Qmax and analysed statistically.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The mean age was 6.97 \u00b1 2.41 years. Out of 104 children, 73 (70.2%) and 31 (29.8%) had distal and mid-shaft hypospadias, respectively. The pre-operative mean Qmax of the population was 6.20 \u00b1 0.42 ml\/s. Arithmetic mean Qmax at 3 months, 6 months and 1 year was 8.53 \u00b1 0.42, 11.18 \u00b1 0.47 and 13.71 \u00b1 0.44 ml\/s, respectively. On comparing the pre-operative with post-operative mean Qmax, a significant increase was found postoperatively (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.0001). Twenty-four patients had significantly decreased Qmax value after 6 months. In these patients, follow-up urethral dilation was done with significant improvement.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The changes in maximum flow rate (Qmax) are suitable for use in routine follow-up. A significant decrease in Qmax over time indicates the onset of urethral stricture. These cases are to be intervened before venturing to redo urethroplasty.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ajps.ajps_125_21","type":"journal-article","created":{"date-parts":[[2023,1,4]],"date-time":"2023-01-04T08:04:31Z","timestamp":1672819471000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Urinary Flow Rates in Anterior Hypospadias"],"prefix":"10.67481","author":[{"given":"Shyamendra Pratap","family":"Sharma","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarita","family":"Chowdhary","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rakesh","family":"Kumar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manoj Kumar","family":"Yadav","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S P","family":"Sharma","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pranay","family":"Panigrahi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":null,"reference":[{"key":"key-10.4103\/0189-6725.367102-1","doi-asserted-by":"crossref","first-page":"1184","DOI":"10.1016\/j.eururo.2011.08.031","article-title":"Trends in hypospadias surgery: Results of a worldwide survey","author":"Springer","year":"2011","journal-title":"Eur Urol"},{"key":"key-10.4103\/0189-6725.367102-2","first-page":"52","article-title":"Role of uroflowmetry before and after hypospadias repair","author":"Piplani","year":"2018","journal-title":"Urol Ann","ISSN":"https:\/\/id.crossref.org\/issn\/0974-7796","issn-type":"print"},{"key":"key-10.4103\/0189-6725.367102-3","doi-asserted-by":"crossref","first-page":"835","DOI":"10.1016\/S0022-5347(01)67178-7","article-title":"Functional evaluation of the results of hypospadias surgery with uroflowmetry","author":"Garibay","year":"1995","journal-title":"J Urol"},{"key":"key-10.4103\/0189-6725.367102-4","doi-asserted-by":"crossref","first-page":"2276","DOI":"10.1016\/j.juro.2012.12.100","article-title":"Hypospadias repair at a tertiary care center: Long-term follow-up is mandatory to determine the actual complication rate","author":"Spinoit","year":"2013","journal-title":"J Urol"},{"key":"key-10.4103\/0189-6725.367102-5","doi-asserted-by":"crossref","first-page":"1008","DOI":"10.1016\/j.juro.2013.03.073","article-title":"Uroflowmetry nomograms for healthy children 5 to 15 years old","author":"Gupta","year":"2013","journal-title":"J Urol"},{"key":"key-10.4103\/0189-6725.367102-6","doi-asserted-by":"crossref","first-page":"1733","DOI":"10.1016\/S0022-5347(06)00614-8","article-title":"Abnormal urine flow in boys with distal hypospadias before and after correction","author":"Wolffenbuttel","year":"2006","journal-title":"J Urol"},{"key":"key-10.4103\/0189-6725.367102-7","doi-asserted-by":"crossref","first-page":"314","DOI":"10.1016\/S0022-5347(06)00305-3","article-title":"The standardization of terminology of lower urinary tract function in children and adolescents: Report from the Standardisation Committee of the International Children's Continence Society","author":"Nev\u00e9us","year":"2006","journal-title":"J Urol"},{"key":"key-10.4103\/0189-6725.367102-8","doi-asserted-by":"crossref","first-page":"540","DOI":"10.32677\/IJCH.2018.v05.i08.008","article-title":"Pre- and postoperative problems related to voiding pattern in patients with hypospadias repair","author":"Baltrak","year":"2018","journal-title":"Indian J Child Health"},{"key":"key-10.4103\/0189-6725.367102-9","doi-asserted-by":"crossref","first-page":"530","DOI":"10.1016\/S0007-1226(97)91302-3","article-title":"Urinary flow rates in hypospadias","author":"Malyon","year":"1997","journal-title":"Br J Plast Surg"},{"key":"key-10.4103\/0189-6725.367102-10","doi-asserted-by":"crossref","first-page":"589","DOI":"10.1159\/000049841","article-title":"EAU guidelines on paediatric urology","author":"Riedmiller","year":"2001","journal-title":"Eur Urol"},{"key":"key-10.4103\/0189-6725.367102-11","first-page":"16972","article-title":"Functional evaluation of mid and distal penile hypospadias surgery with special reference to uroflowmetry","author":"Pandey","year":"2011","journal-title":"Curr Urol"},{"key":"key-10.4103\/0189-6725.367102-12","doi-asserted-by":"crossref","first-page":"299","DOI":"10.1016\/j.jpurol.2005.11.016","article-title":"Is the impaired flow after hypospadias correction due to increased urethral stiffness?","author":"Idzenga","year":"2006","journal-title":"J Pediatr Urol"},{"key":"key-10.4103\/0189-6725.367102-13","doi-asserted-by":"crossref","first-page":"101216","DOI":"10.1016\/j.eucr.2020.101216","article-title":"Long-term fate of the incised urethral plate in Snodgrass procedure; A real concern does exist","author":"Abbas","year":"2020","journal-title":"Urol Case Rep"},{"key":"key-10.4103\/0189-6725.367102-14","doi-asserted-by":"crossref","first-page":"326","DOI":"10.3389\/fped.2018.00326","article-title":"When to graft the incised plate during tip repair.A suggested algorithm that may help in the decision-making process?","author":"Abbas","year":"2018","journal-title":"Front Pediatr"},{"key":"key-10.4103\/0189-6725.367102-15","doi-asserted-by":"crossref","first-page":"304","DOI":"10.1016\/j.jpurol.2005.11.018","article-title":"Hypospadias repair with tabularized incised plate.Is uroflowmetry necessary postoperatively?","author":"Holmdahl","year":"2006","journal-title":"J Pediatr Urol"},{"key":"key-10.4103\/0189-6725.367102-16","doi-asserted-by":"crossref","first-page":"441","DOI":"10.1016\/j.jpurol.2010.05.006","article-title":"Hypospadias repair with tabularized incised plate: Does the obstructive flow pattern resolve spontaneously?","author":"Andersson","year":"2011","journal-title":"J Pediatr Urol"},{"key":"key-10.4103\/0189-6725.367102-17","doi-asserted-by":"crossref","first-page":"297","DOI":"10.1046\/j.1442-2042.2003.00636.x","article-title":"Functional evaluation of one-stage urethroplasty with parameatal foreskin flaps repair of hypospadias using uroflowmetry","author":"Anwar","year":"2003","journal-title":"Int J Urol"},{"key":"key-10.4103\/0189-6725.367102-18","first-page":"117","article-title":"Redo hypospadias surgery: Current and novel techniques","author":"Kulkarni","year":"2018","journal-title":"Res Rep Urol"},{"key":"key-10.4103\/0189-6725.367102-19","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1016\/j.jpurol.2010.03.007","article-title":"Management of recurrent urethral strictures after hypospadias repair: Is there a role for repeat dilation or endoscopic incision?","author":"Gargollo","year":"2011","journal-title":"J Pediatr Urol"}],"container-title":["African Journal of Paediatric Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.4103\/ajps.ajps_125_21","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T00:49:25Z","timestamp":1782953365000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.4103\/ajps.ajps_125_21"}},"subtitle":["Before and After Repair and its Clinical Implication"],"short-title":[],"issued":{"date-parts":[[2023,1,4]]},"references-count":19,"URL":"https:\/\/doi.org\/10.4103\/ajps.ajps_125_21","relation":{},"ISSN":["0189-6725"],"issn-type":[{"value":"0189-6725","type":"print"}],"subject":[],"published":{"date-parts":[[2023,1,4]]}}}