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MACE procedure were difficulty with catheterization of the stoma and stomal pain each occurring in
about 20% of patients. The most common complication of tube cecostomy was difficulty flushing, occurring in 1 in 4 patients. The authors did not perform
any quality of life assessment to determine if there
were differences between the groups. Some patients
had persistent fecal incontinence that the authors
suspect was related to compliance with irrigation
protocols. As this was a retrospective study, there
could be some selection bias on the part of the surgeon for choosing the different procedures but the
data suggest that good results, in terms of fecal
continence, can be obtained with both methods.
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2013
2014
tions varied considerably with some patients undergoing surgery more than 9 years after the initial
operation. The authors did not report the time to
diagnosis of these complications and, therefore, we
do not know if surgical procedures were delayed due
to a delay in diagnosis of the complications or if they
were diagnosed earlier and surgical repair was deferred. It would have been of interest to have data on
complication rates for individual procedures. The
type of hypospadias repair performed may have a
significant impact on complication rate.
Michael L. Ritchey
Section Editor
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2. Hoy NY, Metcalfe P and Kiddoo DA: Outcomes following fecal continence
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3. Combs AJ, Van Batavia JP, Horowitz M et al: Short pelvic floor electromyographic lag time: a novel noninvasive approach to document detrusor overactivity in children with lower urinary tract symptoms. J Urol 2013; 189: 2282.
4. Spinoit A-F, Poelaert F, Groen L-A et al: Hypospadias repair at a tertiary care
center: long-term followup is mandatory to determine the real complication
rate. J Urol 2013; 189: 2276.