title: Folding and everting distal end of graft flap to reduce orifice stenosis following onlay urethroplasty.
abstract: OBJECTIVE
  Orifice stenosis remained to be a common complication of hypospadias repair. We had modified the preputial island flap urethroplasty by folding and everting the distal end of the pedicle graft flap to prevent the neo-orifice from stenosis.
  
  
  METHODS
  Sixteen patients had undergone hypospadias repair using a modified onlay island flap technique. A urethral catheter was retained for 8 days to 10 days after operation.
  
  
  RESULTS
  Satisfactory results were seen in all the patients with a cosmetically fine appearance. One patient had a urinary tract infection and another, urethrocutaneous fistula and both were amply treated. No glanular adhesion or stenosis occurred. A long-term follow up of 6 months to 4 years (mean: 2 years) in 15 patients did not find any complication.
  
  
  CONCLUSIONS
  The modified preputial island flap urethroplasty technique is an easy, reliable and effective approach to reduce orifice stenosis in hypospadias repair.
authors.affiliation: Kidney Diseases Center, First Affiliated Hospital, Zhejiang University Medical College, Hangzhou 310003, China. jiangru8847@sina.com
authors.forename: Rui
authors.initials: R
authors.lastname: Jiang
authors.forename: Jiang-Hua
authors.initials: JH
authors.lastname: Chen
authors.forename: Hong-Wei
authors.initials: HW
authors.lastname: Li
authors.forename: Tong-Liang
authors.initials: TL
authors.lastname: Chen
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D013524:Surgical Flaps; D016896:Treatment Outcome; D014521:Urethra / Q000601:surgery*; D014525:Urethral Stricture / Q000517:prevention & control*; D013521:Urologic Surgical Procedures, Male / Q000379:methods