[Use of a urethral plate in surgery for incurving hypospadias].
OBJECTIVE
To describe a new procedure for surgical correction of primary hypospadias with chordee.


METHODS
The design of the urethral plate divide it in two flaps. Chordee must be resected in order to straighten the penis. Ventral side of neourethra is made with preputial skin or Mathieu procedure. This method has been used in 10 pediatric patients diagnosed of primary hypospadias with chordee.


RESULTS
Medium follow-up was 6 months. Only 2 patients developed urethro-cutaneous fistulae and required a new surgical procedure. No reports of meatal stenosis, urethral dilatation or residual curvature were made. 8 patients have excellent cosmetic results and 2 cases were classified as acceptable.


CONCLUSIONS
This procedure is a new surgical method for correction of primary hypospadias with chordee.
Servicio de Cirugía Pediátrica, Hospital Materno-Infantil Teresa Herrera, Complexo Hospitalario Universitario Juan Canalejo, A Coruña, España. rmendez@canalejo.org
Roberto
R
Méndez Gallart
Diego
D
Vela Nieto
Manuel
M
Gómez Tellado
Iván
I
Somoza Argibay
Jorge
J
Liras Muñoz
Alberto
A
Sánchez-Abuín
Ernesto
E
Pais Piñeiro
D002648:Child; D006801:Humans; D007021:Hypospadias / Q000601:surgery*; D008297:Male; D013524:Surgical Flaps; D016896:Treatment Outcome; D014521:Urethra / Q000601:surgery*