{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T01:44:11Z","timestamp":1782956651193,"version":"3.54.5"},"reference-count":14,"publisher":null,"issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,7]]},"abstract":"Abstract<\/jats:title>\n \n Background:<\/jats:title>\n Hypospadias repair is a complicated surgery even in the best of hands. To date, there is a lack of consensus on which surgical technique offers more favourable post-operative outcomes. The present work was undertaken to evaluate and compare the outcomes and complications rates of two single-stage techniques widely used to repair primary anterior hypospadias, namely Thiersch-Duplay Tubularized Plate Urethroplasty and Koff Urethral Mobilisation and Advancement.<\/jats:p>\n <\/jats:sec>\n \n Materials and Methods:<\/jats:title>\n \n Data from the medical records of 120 patients operated on for primary anterior hypospadias were retrospectively analysed and compared. The patients were divided into two groups: 60 patients underwent Thiersch-Duplay procedure (Group A) and 60 patients underwent Koff procedure (Group B). They were compared using the Chi-squared or Fisher\u2019s exact test to assess the relationship between the adopted surgical technique and the complications\u2019 development with a\n P<\/jats:italic>\n < 0.05.\n <\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n Neither intraoperative complications nor acute post-operative complications occurred, whereas 28.3% (\n n<\/jats:italic>\n = 34\/120) cases have exhibited at least one late post-operative surgical complication, including 38.3% (\n n<\/jats:italic>\n = 23\/60) in Group A and 18.3% (\n n<\/jats:italic>\n = 11\/60) in Group B, revealing a better outcome of the Koff procedure despite the statistical insignificance (\n P<\/jats:italic>\n = 0.102). We did not objectify any other complication besides meatal stenosis (MS), urethro-cutaneous fistula (UCF) and wound dehiscence.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n Overall, our study could not demonstrate the superiority of one technique above another. At the same time, it established the versatility, satisfactory cosmetic and functional results, low MS and UCF rates of Koff urethral mobilization and advancement technique in primary anterior hypospadias repair.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/ajps.ajps_157_22","type":"journal-article","created":{"date-parts":[[2024,3,23]],"date-time":"2024-03-23T06:00:47Z","timestamp":1711173647000},"page":"160-165","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Retrospective Comparative Study between Duplay and Koff Methods in Repair of Distal Hypospadias"],"prefix":"10.67481","volume":"21","author":[{"given":"Othmane","family":"Alaoui","sequence":"first","affiliation":[{"name":"Department of Pediatric Surgery, Hassan II University Hospital, Fez, Morocco"},{"name":"Department of Pediatric Surgery, Faculty of Medicine and Pharmacy and Dental of Fez, Sidi Mohamed Ben Abdellah University, Fez, Morocco"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdelhalim","family":"Mahmoudi","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Hassan II University Hospital, Fez, Morocco"},{"name":"Department of Pediatric Surgery, Faculty of Medicine and Pharmacy and Dental of Fez, Sidi Mohamed Ben Abdellah University, Fez, Morocco"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Khalid","family":"Khattala","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Hassan II University Hospital, Fez, Morocco"},{"name":"Department of Pediatric Surgery, Faculty of Medicine and Pharmacy and Dental of Fez, Sidi Mohamed Ben Abdellah University, Fez, Morocco"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Youssef","family":"Bouabdallah","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Hassan II University Hospital, Fez, Morocco"},{"name":"Department of Pediatric Surgery, Faculty of Medicine and Pharmacy and Dental of Fez, Sidi Mohamed Ben Abdellah University, Fez, Morocco"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":null,"published-online":{"date-parts":[[2024,3,14]]},"reference":[{"key":"R1-20240829","doi-asserted-by":"crossref","first-page":"1022","DOI":"10.1016\/j.eururo.2009.01.005","article-title":"Prevalence of hypospadias in Danish boys: A longitudinal study, 1977-2005","volume":"55","author":"Lund","year":"2009","journal-title":"Eur Urol"},{"key":"R2-20240829","first-page":"CD010372","article-title":"One-step techniques for primary distal hypospadias in children andadolescents","volume":"2","author":"Gomes","year":"2013","journal-title":"Cochrane Database Syst Rev"},{"key":"R3-20240829","first-page":"590","article-title":"American Academy of 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repair?Long-term outcomes of 578 Duplay urethroplasties performed in a single institution over a period of 14 years","volume":"10","author":"Grosos","year":"2014","journal-title":"J Pediatr Urol"},{"key":"R11-20240829","doi-asserted-by":"crossref","first-page":"1753","DOI":"10.1016\/j.juro.2008.03.112","article-title":"Timing of the presentation of urethrocutaneous fistulas after hypospadias repair in pediatric patients","volume":"180","author":"Wood","year":"2008","journal-title":"J Urol"},{"key":"R12-20240829","doi-asserted-by":"crossref","first-page":"68","DOI":"10.3109\/00365599.2010.526959","article-title":"Comparative study of two techniques used in distal hypospadias repair: Tubularized incised plate (Snodgrass) and tubularized urethral plate (Duplay)","volume":"45","author":"Acimi","year":"2011","journal-title":"Scand J Urol Nephrol"},{"key":"R13-20240829","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1097\/01.XPS.0000503268.11426.ab","article-title":"Urethral advancement procedure in the treatment of primary distal hypospadias: A series of 20 cases","volume":"13","author":"Hashish","year":"2017","journal-title":"Ann Pediatr Surg"},{"key":"R14-20240829","doi-asserted-by":"crossref","first-page":"1845","DOI":"10.1016\/j.juro.2010.12.070","article-title":"Analysis of risk factors for glans dehiscence after tubularized incised plate hypospadias repair","volume":"185","author":"Snodgrass","year":"2011","journal-title":"J Urol"}],"container-title":["African Journal of Paediatric 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