Partially de-epithelialized preputial flap (triangular soft tissue flap): an aid to prevent coronal urethrocutaneous fistulae.
A technique is described to fashion a partially de-epithelialized preputial flap, also called triangular soft tissue flap (TSTF), to cover the neourethra in the region of glans, corona and subcorona. This highly vascular TSTF acted as a mechanical barrier against coronal fistula formation in 16 subcoronal hypospadiacs aged 3-12 years who underwent Snodgrass tubularized incised plate urethroplasty. None had complications at 1-year of follow-up.
Singh
R B
RB
Department of Surgery, Pt. B.D. Sharma Postgraduate Institute of Medical Sciences, Rohtak-124001, Haryana, India. dr_rb_singh@rediffmail.com
Pavithran
Nevil M
NM
D002648:Child; D002675:Child, Preschool; D005402:Fistula / Q000517:prevention & control; D006801:Humans; D007021:Hypospadias / Q000601:surgery*; D008297:Male; D013524:Surgical Flaps; D016896:Treatment Outcome; D014521:Urethra / Q000601:surgery