Transverse mucosal preputial flap for repair of severe hypospadias and isolated chordee without hypospadias: a 350-case experience.
Three hundred patients with hypospadias and 50 patients with isolated chordee without hypospadias were operated on and followed by the same surgeon. A very low postoperative urethrocutaneous fistula rate (4.8%) was related to complete cutaneous coverage of the neourethra. The incidence of stenosis, noted in 8% of the cases, has progressively decreased with improvement of technical details and with growing experience. A total of 75% of the patients were corrected with a single operative procedure. Good disponibility of penile skin rendered a second intervention always easy.
Sauvage
P
P
Service de Chirurgie Infantile, C.H.U. Hautepierre, Hopitaux Université Louis Pasteur, Strasbourg, France.
Becmeur
F
F
Geiss
S
S
Fath
C
C
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005500:Follow-Up Studies; D006801:Humans; D007021:Hypospadias / Q000601:surgery*; D007223:Infant; D008297:Male; D010413:Penis / Q000002:abnormalities / Q000601:surgery*; D011183:Postoperative Complications; D012086:Reoperation; D012720:Severity of Illness Index; D013524:Surgical Flaps