Improved glanuloplasty in epispadias repair: technical aspects.
An improved surgical approach to glanuloplasty in male epispadias repair is reported. The 3 essential steps of this repair include 1) reverse meatal advancement and glanuloplasty, 2) excision of redundant glans wing tissue bilaterally and 3) creation of a glandular urethra with a 2-layer glans closure. In more than 200 cases this technique has proved successful in producing a cosmetically satisfactory glans with a low rate of fistula formation (less than 5%).
Diamond
D A
DA
Division of Urology, University of Massachusetts Medical Center, Worcester.
Ransley
P G
PG
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D004842:Epispadias / Q000601:surgery*; D006801:Humans; D007223:Infant; D008297:Male; D010413:Penis / Q000601:surgery*; D013514:Surgical Procedures, Operative / Q000379:methods