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Crawford modification of Denis Browne hypospadias procedure
The Journal of Urology
|June 1, 1977
Insights
This study details the Crawford modification for hypospadias repair in children. The technique resulted in a 7.29% fistula rate, with improved meatus placement on the glans penis.
Area of Science:
- Pediatric Surgery
- Urology
Background:
- Hypospadias is a congenital condition requiring surgical correction.
- The Denis Browne procedure is a historical standard for hypospadias repair.
- Variations aim to improve outcomes and reduce complications.
Purpose of the Study:
- To describe the Crawford modification of the Denis Browne hypospadias repair technique.
- To report the outcomes, specifically fistula rates, of this modified procedure.
Main Methods:
- Retrospective review of 96 hypospadias repairs performed between 1969 and 1975.
- Detailed description of the Crawford modification technique.
- Analysis of complication rates, focusing on fistula formation.
Main Results:
- A total of 96 hypospadias repairs were analyzed.
- The overall fistula rate was 7.29% across various penile and perineal locations.
- The Crawford modification facilitates glans penis meatus placement.
Conclusions:
- The Crawford modification offers an advantage in hypospadias repair by ensuring optimal meatus placement.
- The reported fistula rate is a key outcome measure for this surgical technique.
Abstract:
At Alder Hey Children's Hospital 96 hypospadias repairs were performed from 1969 to 1975, using the Crawford modification of the Denis Browne procedure. The technique is decribed in detail. A 7.29 per cent fistula rate occurred in 69 distal penile, 18 penile, 8 penoscrotal and 1 perineal repairs. The advantageous difference between the Crawford modification and the original description of Denis Browne is that the meatus is placed well onto the glans penis.