title: Reverse tumble flap with tubed island-flap urethroplasty for hypospadias or chordee without hypospadias.
abstract: From July 1971 to April 1979, 47 children who required detachment of the meatus from more distal tissues for adequate chordee release or who needed division of the urethra underwent a 1-stage tubed island-flap procedure. In this procedure the dorsal surface of the hooded prepuce is used to form a urethral tube and the ventral surface is used for shaft skin coverage. In followup to 5 years our long-term functional and cosmetic results appear acceptable for situations requiring creation of only a moderate length of urethra. For more proximal hypospadias a high complication rate has discourged our continued use of this 1-stage procedure.
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005402:Fistula / Q000209:etiology; D006801:Humans; D007021:Hypospadias / Q000601:surgery*; D007223:Infant; D008297:Male; D011183:Postoperative Complications; D012871:Skin Diseases / Q000209:etiology; D013524:Surgical Flaps; D014521:Urethra / Q000601:surgery*; D014522:Urethral Diseases / Q000209:etiology; D014525:Urethral Stricture / Q000209:etiology; D014548:Urinary Fistula / Q000209:etiology