The de-epithelialized flap and its influence on hypospadias repair.
Since its introduction in the 1970s the addition of a complete covering layer over the newly constructed urethra has positively influenced the outcome of hypospadias repairs. Originally applied by Smith during the second stage of a planned 2-stage repair and then to fistula repairs, the de-epithelialized flap has contributed to a marked reduction in post-hypospadias repair complications. The influence of this contribution as well as its application to a variation of the pedicle onlay hypospadias repair is reviewed.
Department of Pediatric Urology, Children's National Medical Center, Washington, D.C.
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Belman
D005500:Follow-Up Studies; D006801:Humans; D007021:Hypospadias / Q000453:epidemiology / Q000601:surgery*; D008297:Male; D010413:Penis / Q000601:surgery*; D011183:Postoperative Complications / Q000453:epidemiology; D013524:Surgical Flaps / Q000379:methods*; D013536:Suture Techniques; D014521:Urethra / Q000601:surgery*