Two-stitch technique for distal shaft hypospadias repair.
The authors present a new technique for distal shaft hypospadias repair using a flip flap fashioned with only two stitches. In raising the flap, the tissues lateral and proximal to the flap are undermined but there is no undermining beneath the flap. The flap is sutured up to the glans with two 4-0 Vicryl sutures. No sutures are placed at the lateral edges of the flap to create the "tube" of the neo-urethra, and no postoperative urinary drainage is used. Thirty-three children with distal shaft hypospadias underwent the "two-stitch" flip flap operation. The complications were one fistula and one case of urinary retention. The technique is an easy method for reconstructing distal penile hypospadias with a very low rate of complications and is suitable for an outpatient surgical setting.
Herman
Oscar
O
Department of Plastic Surgery, Issac Wolfson Hospital, Tel Aviv University, Sackler School of Medicine, Holon, Israel.
Heller
Lior
L
Dorenbaum
Arye
A
Westreich
Melvyn
M
D002648:Child; D002675:Child, Preschool; D006801:Humans; D007021:Hypospadias / Q000601:surgery*; D007223:Infant; D008297:Male; D010413:Penis / Q000601:surgery; D019651:Plastic Surgery Procedures / Q000009:adverse effects / Q000379:methods*; D013524:Surgical Flaps; D016896:Treatment Outcome; D014548:Urinary Fistula / Q000209:etiology / Q000517:prevention & control; D013521:Urologic Surgical Procedures, Male / Q000009:adverse effects / Q000379:methods*