[Correction of posterior hypospadias by a transverse vascular preputial graft, evolution of technics and results. Apropos of 42 cases].
During more than seven years 42 hypospadias were treated in on stage with different technics of urethroplasty by transverse preputial gauntlet grafts. With original Duckett's technic only 21,5% of patients had a good result. The authors reduced the risk of devascularisation first time by a personal modification then by using the double face flap described by Duckett himself; then the percentage of success after one operation overtake 75%. The different complications and their treatment are described and some operative details are pointed out to prevent complications.
Dodat
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Service de Chirurgie Pédiatrique, Hôpital Edouard-Herriot, Lyon.
Gabriele
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Takvorian
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D000293:Adolescent; D001705:Bioprosthesis / Q000009:adverse effects*; D002648:Child; D002675:Child, Preschool; D006801:Humans; D007021:Hypospadias / Q000601:surgery*; D007223:Infant; D008297:Male; D008722:Methods; D015917:Penile Prosthesis / Q000009:adverse effects; D012871:Skin Diseases / Q000209:etiology; D014522:Urethral Diseases / Q000209:etiology
Correction des hypospadias postérieurs par greffon préputial transverse vascularisé, évolution des techniques et résultats. A propos de 42 observations.