Ano-Scrotal Distance (ASD) : Is it a marker for the severity of chordee?
Copyright © 2021 Journal of Pediatric Urology Company. Published by Elsevier Ltd. All rights reserved..
OBJECTIVE: To evaluate the relation between ASD and the severity of chordee and hypospadias in a referral center.
METHODS: The distance between the anal verge and proximal scrotal edge (ASD) was measured in hypospadias patients between 6 and 18 months between 2016 and 2020 in the operating room under anaesthesia. Patients older than 36 months and younger than 6 months were excluded. The patients were classified according to meatus into: Grade I (glandular or chordee without hypospadias), II (distal), III (proximal) and IV (perineal). Chordee was assessed by erection test and classified into 2 groups; Group I: no chordee or mild chordee <30 and Group II: with severe chordee >30. Short ASD was defined as ≤ 2.0 cm.
RESULTS: 817 boys were included. The patients were classified according to the hypospadias grades I (180 pt), II (415 pt), III (120 pt) and IV (102 pt). The median ASD for group I was 3.07 cm (range 1.0-5.5), for group II 3.10 cm (range 1.5-5.0), for group III 2.40 cm (range 1.5-54.5) and for group IV 2.10 cm (range 1.0-3.5). The average ASD of the patients in Grade III and IV (2.26 cm) was significantly shorter than the average ASD of the patients in Grade I and II (3.09 cm) (p < 0.05). 184 patients had an ASD ≤2.0 cm. 38% of patients with glanular hypospadias (grade I) with ASD ≤ 2.0 cm had severe chordee.
CONCLUSION: This study shows that short ASD is a helpful marker of the severity of chordee and hypospadias. Patients with glanular hypospadias and short ASD have 38% chance of having severe chordee.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2021 |
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| Erschienen: |
2021 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:17 |
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| Enthalten in: |
Journal of pediatric urology - 17(2021), 5 vom: 25. Okt., Seite 670.e1-670.e5 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Wirmer, Johannes [VerfasserIn] |
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| Links: |
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| Themen: |
Ano-scrotal distance urologic surgical procedures |
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| Anmerkungen: |
Date Completed 16.11.2021 Date Revised 16.11.2021 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1016/j.jpurol.2021.06.010 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM327302763 |
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| 500 | |a Date Completed 16.11.2021 | ||
| 500 | |a Date Revised 16.11.2021 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2021 Journal of Pediatric Urology Company. Published by Elsevier Ltd. All rights reserved. | ||
| 520 | |a OBJECTIVE: To evaluate the relation between ASD and the severity of chordee and hypospadias in a referral center | ||
| 520 | |a METHODS: The distance between the anal verge and proximal scrotal edge (ASD) was measured in hypospadias patients between 6 and 18 months between 2016 and 2020 in the operating room under anaesthesia. Patients older than 36 months and younger than 6 months were excluded. The patients were classified according to meatus into: Grade I (glandular or chordee without hypospadias), II (distal), III (proximal) and IV (perineal). Chordee was assessed by erection test and classified into 2 groups; Group I: no chordee or mild chordee <30 and Group II: with severe chordee >30. Short ASD was defined as ≤ 2.0 cm | ||
| 520 | |a RESULTS: 817 boys were included. The patients were classified according to the hypospadias grades I (180 pt), II (415 pt), III (120 pt) and IV (102 pt). The median ASD for group I was 3.07 cm (range 1.0-5.5), for group II 3.10 cm (range 1.5-5.0), for group III 2.40 cm (range 1.5-54.5) and for group IV 2.10 cm (range 1.0-3.5). The average ASD of the patients in Grade III and IV (2.26 cm) was significantly shorter than the average ASD of the patients in Grade I and II (3.09 cm) (p < 0.05). 184 patients had an ASD ≤2.0 cm. 38% of patients with glanular hypospadias (grade I) with ASD ≤ 2.0 cm had severe chordee | ||
| 520 | |a CONCLUSION: This study shows that short ASD is a helpful marker of the severity of chordee and hypospadias. Patients with glanular hypospadias and short ASD have 38% chance of having severe chordee | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Ano-scrotal distance urologic surgical procedures | |
| 650 | 4 | |a Chordee | |
| 650 | 4 | |a Hypospadias | |
| 650 | 4 | |a Male | |
| 650 | 4 | |a Penis | |
| 650 | 4 | |a Urethra | |
| 700 | 1 | |a Sennert, Michael |e verfasserin |4 aut | |
| 700 | 1 | |a Hadidi, Ahmed T |e verfasserin |4 aut | |
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