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.
Fuse
H
H
Department of Urology, Faculty of Medicine, Toyama Medical and Pharmaceutical University, Sugitani, Toyama, Japan. fuse@ms.toyama-mpu.ac.jp
Akashi
T
T
Yasuda
K
K
Mizuno
I
I
D002675:Child, Preschool; D006801:Humans; D007021:Hypospadias / Q000601:surgery*; D008297:Male; D011183:Postoperative Complications / Q000517:prevention & control; D013524:Surgical Flaps; D014521:Urethra / Q000601:surgery*