Comparative outcomes among inlay grafted incised plate, onlay preputial flap and tubularized incised plate urethroplasty for the repair of distal penile hypospadias with a narrow urethral plate.

PURPOSE: We conducted this study, comparing the outcomes among Transverse Onlay Island Flap, inlay grafted incised plate and our previous records of tubularized incised plate urethroplasty (TIPU) in patients with narrow urethral plates, aiming to determine which method of repair provides a good outcome. METHODS: This hybrid study included two datasets. The first from a prospective randomized study evaluating outcomes of two treatment modalities; Inlay graft and only flap for distal hypospadias with shallow urethral plate with 80 patients (40 patients in each group) included, the second based on our previous records of TIPU in 40 patients with distal primary hypospadias with narrow urethral plate. RESULTS: The success rate in inlay graft urethroplasty group (n = 40) was 87.5%; glandular dehiscence occurred in one case (2.5%), fistulas occurred in 2 cases (5%), and narrow meatus occurred in two cases (5%). Success rate in onlay flap urethroplasty group (n = 40) was 82.5%; glandular dehiscence occurred in two cases (5%), fistulas occurred in two cases (5%), and narrow meatus occurred in three cases (7.5%). TIPU group (n = 40) had success rate of 62.5%; glandular dehiscence occurred in eight cases (20%), fistulas occurred in five cases (12.5%), and narrow meatus occurred in seven cases (17.5%), with five cases exhibiting both narrow meatus with fistula. CONCLUSION: Inlay graft and onlay flap urethroplasty for repair of distal penile hypospadias with narrow urethral plate had higher success rate and fewer complications than traditional TIPU. Moreover, operative time was shorter in TIPU.

Adsorptive recovery of arsenic (III) ions from aqueous solutions using dried Chlamydomonas sp.

The present study aimed to descry the effectiveness of dried microalga Chlamydomonas sp. for disposing of arsenic from aqueous solution. The study included examining the impact of some factors on algae's adsorption capacity (optimization study), such as initial concentrations of heavy metal, biosorbent doses, pH and contact time. All trials have been performed at constant temperature 25 °C and shaking speed of 300 rpm. The optimization studying indicated the pH 4, contact time at 60 min, temperature 25 °C and biomass concentration of 0.6 g/l were the best optimum conditions for the bioremediation activity with maximum removal percentage 95.2% and biosorption capacity 53.8 mg/g. Attesting of biosorption by applying FTIR (Fourier transfigure infrared), XRD (X-ray diffraction), SEM-EDX (Scanning Electron Microscope - Energy Dispersive X-ray), DLS (Dynamic light scarring) and ZP (Zeta Potential) was conducted. Also, Kinetics, isotherm equilibrium and thermodynamics were carried out to explain the plausible maximum biosorption capacity and biosorption rate of biosorbent q maximum.