Hormone therapy in hypospadias surgery: a survey on the current practice in Turkey

Background/aim: Nowadays surgical intervention is possible in smaller phalluses and younger children with hypospadias disease. Different hormone treatments with different doses, modalities, indications, and treatment times come along with some disputes. The aim of this study is to evaluate the management approaches in hypospadias surgery of surgeons in regards to hormone preparations. Materials and methods: Questionnaires were sent via e-mail to 110 actively working pediatric surgeons and urologists. The answers of 99 surgeons were evaluated (90%). Two surgeons declared that they did not perform hypospadias surgery. Results: When testosterone usage in penile surgery was questioned, 44.4% of participants (n = 44) answered positively. Small-short penis glans, narrow urethral plate, chordee, disorders of sexual development, buccal mucosa-graft operations, slight tissue, and defective ventral skin were the indications for usage. Forty of forty-four surgeons stated usage in proximal hypospadias, 18 of them in penile hypospadias, and 15 of them in distal hypospadias. The most common form was dihydrotestosterone (62%). According to the respondents, fistulas (83%), infections (78%), and wound dehiscence (77%) were reduced. Fifty-six percent of the surgeons stated that bleeding was increased and 39% stated easier dissection. Conclusion: As a result of this questionnaire we can understand that there is no standard usage of testosterone in Turkey. Optimal points of usage can be introduced by increasing prospective randomized trials and education programs can ensure similar effective usage.
Turkish Journal of Medical Sciences-Cover
  • ISSN: 1300-0144
  • Yayın Aralığı: Yılda 6 Sayı
  • Yayıncı: TÜBİTAK
Sayıdaki Diğer Makaleler

The association of papillary thyroid cancer with microcalcification in thyroid nodules with indeterminate cytology based on fine-needle aspiration biopsy

Tunç EREN, Orhan ALİMOĞLU, Barış BAYRAKTAR, Ender ANILIR, Rafet YİĞİTBAŞI, İbrahim Ali ÖZEMİR, Kıvılcım ORHUN, Jülide SAĞIROĞLU, Ayşe Bahar CEYRAN

Simulation of cryolipolysis as a novel method for noninvasive fat layer reduction

Abbas MAJDABADI, Mohammad ABAZARI

Serçin GÜVEN, İbrahim GÖKCE, Neslihan ÇİÇEK, Ülger ALTUNTAŞ, Nurdan YILDIZ, Harika ALPAY

Murat DİZBAY, Hasan Selçuk ÖZGER, Ömer KARAŞAHİN, Emine Füsun KARAŞAHİN

Memduh ŞAHİN, İbrahim Celalettin HAZNEDAROĞLU, Demircan ÖZBALCI

İbrahim Ali ÖZEMİR, Bariş BAYRAKTAR, Ender ANILIR, Kivilcim ORHUN, Tunç EREN, Jülide SAĞIROĞLU, Ayşe Bahar CEYRAN, Rafet YİĞİTBAŞI, Orhan ALİMOĞLU

Pityriasis rosea: a natural history of pediatric cases in the Central Anatolia Region of Turkey

Emine ÇÖLGEÇEN, Çiğdem KADER, Yılmaz ULAŞ, Pınar ÖZTÜRK, Mehmet BALCI, Öznur KÜÇÜK

Plasma levels of serotonin, gastrointestinal symptoms, and sleep problems in children with autism

Sorayya KHEIROURI, Parinaz KALEJAHI, Seyyed Gholamreza NOORAZAR

Bone mineral density and growth in children with coeliac disease on a gluten free-diet

Ceyda TUNA KIRSAÇLIOĞLU, Aydan TANCA, Zarife KULOĞLU, Ayhan Gazi KALAYCI, Gönül ÖCAL, Nuriye Özlem KÜÇÜK, Arzu ENSARİ, Nurten İRGİN, Zehra AYCAN

Is there a difference between Parkinson disease patients and a control group in terms of urinary symptoms and quality of life?

Tuba Şaziye ÖZCAN, Yasemin KAYA, Erdal BENLİ, Fahriye Feriha ÖZER, Ali AYYILDIZ