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Urethrocutaneous Fistula Rate After Double Dartos and Single Dartos Tubularized Incised Plate Urethroplasty

Primary Purpose

Hypospadias

Status
Completed
Phase
Not Applicable
Locations
Pakistan
Study Type
Interventional
Intervention
Group B
Group A
Sponsored by
King Edward Medical University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Hypospadias

Eligibility Criteria

2 Years - 17 Years (Child)MaleAccepts Healthy Volunteers

Inclusion Criteria All the patients above one year of age All patients having distal and mid penile hypospadias. -

Exclusion Criteria Severe chordee Previously operated cases Patient with undescended testis Circumcised patient

-

Sites / Locations

  • KEMU

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Single Dartos TIP

Double Dartos TIP

Arm Description

Single dartos tubularized incised plate urethroplasty

Double dartos tubularized incised plate urethroplasty

Outcomes

Primary Outcome Measures

Recurrence of urethro-cutaneous fistula
Abnormal communication between urethra and penile skin after urethroplasty, presenting with complaints of two streams of micturition and noted on examination at 17th postoperative day.

Secondary Outcome Measures

Full Information

First Posted
November 5, 2018
Last Updated
January 6, 2021
Sponsor
King Edward Medical University
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1. Study Identification

Unique Protocol Identification Number
NCT04699318
Brief Title
Urethrocutaneous Fistula Rate After Double Dartos and Single Dartos Tubularized Incised Plate Urethroplasty
Official Title
To Compare the Frequency of Urethrocutaneous Fistula After Double Dartos Tubularized Incised Plate (TIP) Urethroplasty and Single Dartos Tubularized Incised
Study Type
Interventional

2. Study Status

Record Verification Date
January 2021
Overall Recruitment Status
Completed
Study Start Date
August 1, 2017 (Actual)
Primary Completion Date
January 31, 2018 (Actual)
Study Completion Date
January 31, 2018 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
King Edward Medical University

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
The subjects were divided into two groups. Each group comprised 30 children. Children were randomly allocated in two groups via computer generated tables. Children in group-A underwent single dartos tubularized incised plate urethroplasty while those in group-B underwent double dartos tubularized incised plate urethroplasty.
Detailed Description
In group A dartos flap is raised from foreskin of the patient and applied as a single layer after tubularization in between neourethra and skin . In group B dartos flap is raised from the foreskin of patient and divided in two equal halves.Both flaps are placed as two layers in between skin and neourethra.After surgery patient is kept in ward for 10 days with stent.Patient is followed up in OPD on after 7th day after discharge for outcome.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hypospadias

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
60 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Single Dartos TIP
Arm Type
Experimental
Arm Description
Single dartos tubularized incised plate urethroplasty
Arm Title
Double Dartos TIP
Arm Type
Experimental
Arm Description
Double dartos tubularized incised plate urethroplasty
Intervention Type
Procedure
Intervention Name(s)
Group B
Other Intervention Name(s)
Double dartos TIP
Intervention Description
To release the pediatric hypospadias using Double Dartos Tubularized incised plate (TIP) Urethroplasty
Intervention Type
Procedure
Intervention Name(s)
Group A
Other Intervention Name(s)
Single dartos TIP
Intervention Description
To release the pediatric hypospadias using Single Dartos Tubularized incised plate (TIP) Urethroplasty
Primary Outcome Measure Information:
Title
Recurrence of urethro-cutaneous fistula
Description
Abnormal communication between urethra and penile skin after urethroplasty, presenting with complaints of two streams of micturition and noted on examination at 17th postoperative day.
Time Frame
17 days

10. Eligibility

Sex
Male
Gender Based
Yes
Gender Eligibility Description
Male gender
Minimum Age & Unit of Time
2 Years
Maximum Age & Unit of Time
17 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria All the patients above one year of age All patients having distal and mid penile hypospadias. - Exclusion Criteria Severe chordee Previously operated cases Patient with undescended testis Circumcised patient -
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Asad Munir, FCPS
Organizational Affiliation
King Edward Medical University
Official's Role
Principal Investigator
Facility Information:
Facility Name
KEMU
City
Lahore
State/Province
Punjab
ZIP/Postal Code
042
Country
Pakistan

12. IPD Sharing Statement

Plan to Share IPD
Undecided

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Urethrocutaneous Fistula Rate After Double Dartos and Single Dartos Tubularized Incised Plate Urethroplasty

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