{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T21:56:23Z","timestamp":1790027783684,"version":"4.0.1"},"reference-count":12,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"Suppl 4","license":[{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Hypospadias repair aims to achieve both functional and cosmetic restoration of the penis. Long-term outcomes vary depending on the surgical technique employed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>A prospective, multicenter cohort study was conducted involving 180 patients aged 6 months to 7 years undergoing primary hypospadias repair. Patients were followed up for a minimum of 2 years to assess urinary stream, cosmetic appearance, and complication rates.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Tubularized incised plate (TIP) repair showed superior cosmetic outcomes with a 92% parental satisfaction rate. Onlay flap had a lower complication rate (6.7%), while the Bracka repair was reserved for proximal hypospadias and had acceptable results but higher complication rates (15%). Functional outcomes were comparable in all groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Surgical technique selection should be tailored based on hypospadias severity. TIP repair offers excellent cosmetic results in distal cases, while Onlay flap and Bracka remain reliable for more complex cases.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jpbs.jpbs_1419_25","type":"journal-article","created":{"date-parts":[[2025,12,18]],"date-time":"2025-12-18T08:01:25Z","timestamp":1766044885000},"page":"S3352-S3354","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Long-Term Functional and Cosmetic Outcomes of Hypospadias Repair Using Different Surgical Techniques: A Multicenter Prospective Cohort Study"],"prefix":"10.4103","volume":"17","author":[{"given":"Nishant G.","family":"Xess","sequence":"first","affiliation":[{"name":"Department of Pediatric Surgery, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kavita","family":"Tirkey","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"family":"Ankita","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shyam Sundar","family":"Sahu","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abhishek Kumar","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abhishek","family":"Ranjan","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Priya Shalini","family":"Lakra","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hirendra","family":"Birua","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,12,17]]},"reference":[{"key":"R1-20251218","doi-asserted-by":"crossref","first-page":"464","DOI":"10.1016\/S0022-5347(17)34991-1","article-title":"Tubularized, incised plate urethroplasty for distal hypospadias","volume":"151","author":"Snodgrass","year":"1994","journal-title":"J Urol"},{"key":"R2-20251218","first-page":"155","article-title":"Comparison of functional and cosmetic results in distal hypospadias: TIP versus MAGPI repair","volume":"2","author":"Cheng","year":"2004","journal-title":"J Pediatr Urol"},{"key":"R3-20251218","first-page":"1451","article-title":"Comparative analysis of tubularized incised plate versus onlay island flap urethroplasty for hypospadias repair","volume":"180","author":"Braga","year":"2008","journal-title":"J Urol"},{"key":"R4-20251218","first-page":"544","article-title":"Prospective assessment of patient-reported outcomes in children undergoing two-stage proximal hypospadias repair","volume":"198","author":"Long","year":"2017","journal-title":"J Urol"},{"key":"R5-20251218","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1016\/j.jpurol.2010.11.009","article-title":"Hypospadias dilemmas: A round table","volume":"7","author":"Snodgrass","year":"2011","journal-title":"J Pediatr Urol"},{"key":"R6-20251218","first-page":"290","article-title":"Pediatric urology: Challenges in hypospadias repair","volume":"10","author":"Spinoit","year":"2013","journal-title":"Nat Rev Urol"},{"key":"R7-20251218","doi-asserted-by":"crossref","first-page":"345","DOI":"10.1016\/S0007-1226(95)90023-3","article-title":"A versatile two-stage hypospadias repair","volume":"48","author":"Bracka","year":"1995","journal-title":"Br J Plast Surg"},{"key":"R8-20251218","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1016\/j.jpurol.2010.11.009","article-title":"TIP hypospadias repair: A decade of experience","volume":"7","author":"Snodgrass","year":"2011","journal-title":"Pediatr Urol"},{"key":"R9-20251218","first-page":"977","article-title":"The results of single-stage hypospadias repair using the Onlay Island Flap technique: A long-term assessment","volume":"164","author":"Kolon","year":"2000","journal-title":"J Urol"},{"key":"R10-20251218","first-page":"1428","article-title":"Long-term cosmetic and functional outcomes of hypospadias repair","volume":"13","author":"Moriya","year":"2006","journal-title":"Int J Urol"},{"key":"R11-20251218","first-page":"50","article-title":"Comparative study of hypospadias surgery by TIP and Onlay methods","volume":"10","author":"Singh","year":"2013","journal-title":"Afr J Paediatr Surg"},{"key":"R12-20251218","doi-asserted-by":"crossref","first-page":"289","DOI":"10.1016\/j.jpurol.2016.11.012","article-title":"Reoperative urethroplasty after failed hypospadias repair: Comparative outcomes of staged repairs","volume":"13","author":"Snodgrass","year":"2017","journal-title":"J Pediatr Urol"}],"container-title":["Journal of Pharmacy and Bioallied Sciences"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jpbs.jpbs_1419_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T15:46:46Z","timestamp":1787068006000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jpbs.jpbs_1419_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12]]},"references-count":12,"journal-issue":{"issue":"Suppl 4","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/jpbs.jpbs_1419_25","relation":{},"ISSN":["0976-4879","0975-7406"],"issn-type":[{"value":"0976-4879","type":"print"},{"value":"0975-7406","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12]]},"assertion":[{"value":"2025-08-08","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication 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