title: Modified vascularized pedicled scrotal flap for complex hypospadias.
abstract: Surgical correction of complex hypospadias defects is a problem. A 1-stage technique using a scrotal septum pedicled skin flap was used in 7 patients with inadequate preputial skin and scarred ventral penile skin unsuitable for satisfactory repair. The results were satisfactory in 5 patients. Distal urethral stricture developed in the remaining 2 patients and 1 of them had a subcoronal urethrocutaneous fistula. Minor hair growth was noted in 1 patient. The pedicled scrotal septum flap is recommended in selected cases of complex hypospadias, particularly when other methods fail.
authors.affiliation: Department of Urology, Alexandria University, Egypt.
authors.forename: I
authors.initials: I
authors.lastname: Mokhless
mesh_terms: D000328:Adult; D002648:Child; D002675:Child, Preschool; D006801:Humans; D007021:Hypospadias / Q000601:surgery*; D008297:Male; D012611:Scrotum / Q000098:blood supply / Q000637:transplantation*; D013524:Surgical Flaps / Q000379:methods*