title: A novel technique for reinforcing the neourethra in hypospadias associated with bilateral undescended testis: use of the gubernaculum.
abstract: The authors present 3 cases of proximal hypospadias associated with bilateral undescended testes (UDT) in which the gubernaculum was used to reinforce the neourethra to prevent urethrocutaneous fistula. This is the first report of the gubernaculum being used to reinforce the neourethra. The technique is simple and should be applicable to any hypospadias patient with concomitant UDT, especially in severe hypospadias. Good outcome is likely because of the excellent blood supply of the gubernaculum.
authors.affiliation: Department of Pediatric Surgery, Juntendo University School of Medicine, Tokyo, Japan.
authors.forename: Atsuyuki
authors.initials: A
authors.lastname: Yamataka
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Kobayashi
authors.forename: Yasuhiro
authors.initials: Y
authors.lastname: Okada
authors.forename: Kanako
authors.initials: K
authors.lastname: Tsukamoto
authors.forename: Geoffrey J
authors.initials: GJ
authors.lastname: Lane
authors.forename: Takeshi
authors.initials: T
authors.lastname: Miyano
mesh_terms: D002675:Child, Preschool; D003456:Cryptorchidism / Q000150:complications; D006801:Humans; D007021:Hypospadias / Q000150:complications / Q000601:surgery*; D007223:Infant; D008022:Ligaments; D008297:Male; D012611:Scrotum / Q000601:surgery; D014521:Urethra / Q000601:surgery*; D013521:Urologic Surgical Procedures, Male / Q000379:methods