Transverse island flap and double flap procedure in the treatment of congenital epispadias in 32 patients.
According to major reports in the literature satisfactory cosmetic and genital results after correction of male epispadias have been achieved in only 50 per cent of the patients. Since 1976 we have been using the Duckett transverse island flap principle adapted to epispadiac anatomical conditions. The original technique was used in our initial 18 patients and the Asopa double flap technique was performed in the subsequent 14. Excellent results were obtained in both series. However, there was a high percentage of fistulas that required secondary repair. The techniques and results are described.
Monfort
G
G
Hopital des Enfants, Marseille, France.
Morisson-Lacombe
G
G
Guys
J M
JM
Coquet
M
M
D000015:Abnormalities, Multiple / Q000601:surgery*; D001746:Bladder Exstrophy / Q000150:complications / Q000601:surgery*; D013196:Dihydrotestosterone / Q000627:therapeutic use; D004842:Epispadias / Q000150:complications / Q000601:surgery*; D005402:Fistula / Q000209:etiology; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D008866:Microsurgery; D010409:Penile Diseases / Q000209:etiology; D011183:Postoperative Complications; D012189:Retrospective Studies; D013524:Surgical Flaps; D001747:Urinary Bladder Fistula / Q000209:etiology
D013196:Dihydrotestosterone