Piet Hoebeke

Piet Hoebeke
Ghent University | UGhent · Department of Uro-gynaecology

About

455
Publications
145,734
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13,557
Citations
Citations since 2016
108 Research Items
7843 Citations
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201620172018201920202021202202004006008001,0001,200
201620172018201920202021202202004006008001,0001,200

Publications

Publications (455)
Article
Full-text available
Introduction: Penile and genital surgery for congenital or acquired conditions is daily practice in reconstructive urology. These procedures, which carry the risk of disrupting nerves and blood vessels, may impair the genital sensation, and affect the capacity for sexual pleasure. Self-reported tools are needed to systematically assess the male ge...
Chapter
Differences of sexual development are congenital conditions based on chromosomal and/or gonadal differences leading to a variety of atypical internal and external anatomical sex development. Some of these conditions may result in the presence of (aberrant) embryological remnants. These remnants can lead to bothersome symptoms like post void dribbli...
Conference Paper
Introduction & Objectives: The most common strictures after gender-affirming phalloplasty are the anastomotic strictures. Stricture treatment after phalloplasty have a high recurrence rate due to the poor vascularization of the neo-urethra. Despite, different techniques of stricture treatment described in the literature, there is no medical evidenc...
Article
Introduction Patient/parent education and participation helps improve post-operative care. Dressing and catheter care after hypospadias surgery varies widely and young parents are keen to use available media when seeking for help, especially if surgery is done in an outpatient setting. An information video about post-operative care after hypospadia...
Article
Full-text available
Introduction Duplication of the urethra is a rare congenital anomaly in females which, if left unidentified, might cause refractory urinary incontinence. This video demonstrates its identification and treatment. Patient & methods A 5-year-old female was referred for primary refractory diurnal incontinence without any dry moment since birth. Initia...
Article
Full-text available
Background: Hypospadias affects around 1/200 newborn males. Intrauterine testicular dysfunction may underlie a subset of cases. The long-term endocrine and reproductive outcomes in these men remain largely unknown. Methods: Cross-sectional study in Ghent and Vienna University Hospitals to assess the endocrine and seminal parameters of young adul...
Article
INTRODUCTION Urinary incontinence is the most frequently observed lower urinary tract symptom in children with cerebral palsy (CP). Being continent can positively influence quality of life of the child and the social environment. OBJECTIVE To investigate the effectiveness of incontinence training with urotherapy in children with CP. STUDY DESIGN...
Article
Background Pediatric cystic renal lesions are challenging to manage as little is known about their natural course. A modified Bosniak (mBosniak) classification system has been proposed for risk stratification in pediatric patients that takes ultrasound (US) and/or computed tomogram (CT) characteristics into account. However, literature validating t...
Article
Full-text available
Metoidioplasty as form of genital gender affirming surgery (GGAS) is frequently complicated by urethral fistulas and/or strictures. Knowledge on how to treat these complications is scarce. This series aims to describe the techniques used to treat urethral fistulas and strictures and will report the outcomes of these techniques. For this purpose, a...
Article
Full-text available
Background: Urethral strictures are a common complication after genital gender-affirming surgery (GGAS) in transmasculine patients. Studies that specifically focus on the management of urethral strictures are scarce. The aim of this systematic review is to collect all available evidence on the management of urethral strictures in transmasculine pa...
Article
Purpose of review: Although immediate surgical outcomes of genitourinary reconstruction used to be the main focus in hypospadias and exstrophy-epispadias complex (EEC), recent research demonstrates rising concerns about long-term functional and psychosexual outcomes. Recent results about long-term outcomes of complex genitourinary reconstruction i...
Article
Background Possible options of genital gender affirming surgery in transmasculine are metoidioplasty or phalloplasty. As opposed to phalloplasty, no flapbased neophallic reconstruction is needed in metoidioplasty. Urethral lengthening is needed in metoidioplasty if the patient desires voiding at the tip of the neophallus. This urethral lengthening...
Article
Introduction Scarce data is available in literature about the upper urinary tract outcomes of patients with Exstrophy-Epispadias Complex (EEC). After bladder closure during childhood, EEC bladders can become hostile to the upper tracts after bladder by exposing them to high pressures, leading to hydronephrosis (HN) and kidney damage. Similarly, ves...
Conference Paper
Introduction & Objectives: Hypospadias surgery represents a complex field within the domain of the reconstructive urologist. 1 Today, it is known 2 failed hypospadias repair comprises an even more challenging problem that requires the mastering of multiple different techniques in order to that more severe grades of hypospadias are associated with a...
Article
Purpose: We assessed the long-term surgical, functional urinary and sexual outcome of adolescent and young adult men who underwent childhood hypospadias repair. Materials and methods: Men born with non-syndromic hypospadias and healthy male controls, aged 16-21 years old, were recruited and their surgical, urinary, sexual functional and aestheti...
Article
Full-text available
Exstrophy-epispadias complex (EEC) is a spectrum of genitourinary malformations that ranges in severity and affects external genitalia and the lower urinary tract. The aim of this study was to determine the long-term sexual outcomes of patients with EEC. Sexual outcomes were hypothesized to be related to those of urinary ones. A retrospective datab...
Article
Full-text available
Phalloplasty is the gold-standard treatment for cis-men with penile insufficiency, which is often secondary to congenital conditions. The study-objective is to evaluate the functional outcomes and surgical complications in this population. A retrospective database comprised of cis-men undergoing a phalloplasty at a tertiary referral center from 200...
Article
Gaining an esthetical skin coverage can be challenging in some hypospadias repair cases, especially in those with significant ventral skin paucity. A local institutional technique used to correct ventral skin paucity in hypospadias is described. It consists of a redistribution of the abundant dorsal skin and its hooded prepuce to the ventral side o...
Article
Spina bifida is the most common neural tube defect, which can lead to multiple urologic problems stemming from neurogenic bladder including need for lifelong renal monitoring and urinary continence. However, as males with SB age, it is clear that many also start to care about their sexuality, which may also be affected by the disease process. After...
Article
Full-text available
As the advances in medicine continue to emerge, more children with congenital or pediatric-onset chronic urologic conditions are surviving well into adulthood. This imposes an ever rising there is a need for adequate transition of these patients from pediatric to adult care. Despite position statements from multiple heath care organizations and sev...
Article
Background: Until recently, all available erectile devices were manufactured in accordance with the anatomy of a native penis and led to high explantation rates when implanted in the neophallus. Aim: The aim of this study was to investigate surgical outcomes after implantation of the ZSI 475 FTM in the neophallus; this is the first erectile devi...
Article
Objectifs L’auto-transplantation rénale robot-assistée (ATRRA) est une technique opératoire employée en ultime recours à visée d’épargne néphronique, dans de nombreuses indications : rénovasculaire, urétérales et tumorales. Contrairement à l’urétéro-iléoplastie, elle a l’avantage d’une approche mini-invasive. L’objectif de cette étude était de décr...
Article
Full-text available
Background and objective Differences of sexual development (DSD) affect the development of internal reproductive organs and external genitalia. Ectopic kidney is a rare and challenging pathology causing amongst others incontinence and recurrent urinary tract infections. Those pathologies may in certain cases be an indication for surgery. This manus...
Article
Full-text available
Introduction Phalloplasty for penile insufficiency in biological men differs from trans-men by incorporating native tissue. The study objective was to report surgical and functional outcomes of phalloplasty in biological men. Patients & methods Phalloplasty was performed with a radial free forearm (RFFA) or pedicled anterolateral thigh (ALT) flap....
Presentation
Background and Aims: Venous embolization seems the most promising treatment for veno-occlusive erectile dysfunction (VOD) at this moment. We wanted to evaluate the clinical effect of retrograde endovascular embolization therapy in men with erectile dysfunction. Methods: We performed a retrospective single-centered study with prospective addition. B...
Poster
Background and Aims: Vascular erectile dysfunction (ED) is defined as the inability to maintain a sufficient amount of blood in the corpora cavernosa for adequate erection and sexual functioning. Venous embolizations seem to be the most promising treatment of veno-occlusive dysfunction (VOD) at the moment. Access for this embolization can be grante...
Article
Objectives To report long-term surgical outcomes after urethroplasty for failed hypospadias repair (FHR) related strictures in adults. Materials and methods A database of all adult (≥18y) men who underwent urethroplasty since 2000 at Ghent University Hospital was created (prospective data since 2008). Patients with a follow-up <1y or non-FHR relat...
Article
Full-text available
Background The psychosexual outcome in adolescents and young adults (AYA) men born with hypospadias is precarious. However, the factors responsible for impaired outcome in some AYA men have been understudied. Aim To explore the outcome after hypospadias repair in childhood of AYA men aged 16–21 years and examine their opinion and their parents’ op...
Article
Full-text available
Background: Since the recommendation to perform excision and primary anastomosis (EPA) for isolated, short, anastomotic strictures in transmen, there have been no further reports about its results. This study aims to provide an updated and extended report about the results of EPA for the aforementioned indication. Methods: Since 2002, data of al...
Article
Full-text available
Since tobacco remains a leading cause of global morbidity and mortality, emphasis needs to be given to preventive approaches to tobacco consumption. Environmental and policy strategies with fear appeals are important contributors to reductions in smoking prevalence. Fear appeals are persuasive messages-often using graphic and emotionally evocative...
Article
Introduction & background: Despite adequate management, 20% of children with overactive bladder (OAB) syndrome fail to improve their bladder function. To approach the need for alternative strategies, an inpatient bladder rehabilitation 'voiding school' program was established. Objective: The objective of this study was to evaluate the short- and...
Article
Full-text available
Introduction and objective: The use of intravesical onabotulinum-A toxin (BoNT-A) injections in the treatment of idiopathic detrusor overactivity has been widely studied in adults [2-5]. However, in pediatric populations, study groups are small, and results are not yet sufficient to support this treatment as a standard practice. The aim of this st...
Article
Full-text available
Introduction: The standard recommended treatment for neurogenic detrusor overactivity (NDO) is clean intermittent catheterization combined with an antimuscarinic agent. However, the adverse systemic side-effects of oxybutynin, the most widely used agent, are of concern. Objective: To evaluate the efficacy and safety of solifenacin in pediatric p...
Article
Full-text available
Introduction: The androgen receptor (AR) plays an important role in the development of male genitalia, and impaired androgen signalling has been hypothesised to underlie congenital penile malformations (CPM) such as hypospadias. Previous studies exploring the role of AR expression in the development of CPM have yielded conflicting results. Object...
Article
Full-text available
Context Patients born with complex congenital genitourinary anomalies (including bladder exstrophy, cloacal exstrophy, epispadias, neurogenic bladder, hypospadias and posterior urethral valves) often require major reconstructive surgery in childhood. These conditions, their treatment and sequelae require lifelong follow-up. This has created the nee...
Article
Background: Urethral reconstruction in anterolateral thigh flap phalloplasty cannot always be accomplished with one flap, and the ideal technique has not been established yet. In this article, the authors' experience with urethral reconstruction in 93 anterolateral thigh flap phalloplasties is reported. Methods: Ninety-three anterolateral thigh...
Article
Objectives: To explore the use of neo-vaginal advancement flaps in the treatment of distal urethral strictures with description of the techniques and preliminary results in transwomen. Methods: Five patients were treated. A 7-flap was used in 2 patients and an inverted U-flap in 3 patients. In 1 patient with an inverted U-flap, the urethra was f...
Article
Full-text available
Introduction: Urethral injuries and trauma-related strictures (UITSs) in children are rare. The treatment is challenging but crucial to avoid life-long urinary complications such as recurrent stricture formation, urinary incontinence, and impotence. Objective: The aim was to report on the surgical and functional outcome of urethroplasty for UITS...
Article
Full-text available
Introduction: Failure of kidney migration during embryonic life results in an ectopic kidney, with an incidence varying from 1 in 500 to 1 in 1200. Pelvic kidney can be a rare cause of recurrent urinary tract infection (UTI), warranting nephrectomy in some cases. Material and methods: A 7-year-old girl with a history of recurrent UTIs and vagina...
Article
Background: Kidney autotransplantation (KAT) is the ultimate way to salvage kidneys with complex renovascular, ureteral, or malignant pathologies that are not amenable to in situ reconstruction. A minimally invasive approach could broaden its adoption. Objective: To describe operative technique, perioperative complications, and early functional...
Article
Full-text available
Purpose: The aim of this study is to analyse colon transit time (CTT) and anorectal manometry (ARM) in children with spina bifida (SB) as a predictor for achieving spontaneous faecal continence. Methods: SB patients (2.5-7 years old) followed at the SB Reference Centre Ghent University Hospital underwent CTT and/or ARM before starting bowel mana...
Article
Full-text available
The adrenogenital syndrome is an autosomal recessive disorder in which an enzyme defect in the steroid pathway leads to excessive prenatal exposure of androgens. In the female fetus, masculinization of the external genitalia is observed. Surgery aims for functional and aesthetical reconstruction. Many techniques have been described. A video of our...