Tubularized incised plate urethroplasty for distal hypospadia, using overlapping dorsal subcutaneous flaps.
This paper presents a newly developed simple procedure using overlapping vascularized dorsal dartos subcutaneous flaps to cover the neourethra after hypospadias correction. A 3-year old boy with distal hypospadias underwent the tubularized incised plate urethroplasty using this method. Postoperative complications, which include urethrocutaneous fistula, were not observed, but the glans did exhibit a vertical, slit-like meatus. Covering the neourethra with overlapping dorsal dartos flaps is expected to prevent the development of urethrocutaneous fistula in patients with distal hypospadias.
Department of Urology, Faculty of Medicine, Toyama Medical and Pharmaceutical University, Sugitani, Toyama, Japan. fuse@ms.toyama-mpu.ac.jp
H
H
Fuse
T
T
Akashi
K
K
Yasuda
I
I
Mizuno
D002675:Child, Preschool; D006801:Humans; D007021:Hypospadias / Q000601:surgery*; D008297:Male; D011183:Postoperative Complications / Q000517:prevention & control; D013524:Surgical Flaps; D014521:Urethra / Q000601:surgery*