[One stage repair of scrotal and perineal hypospadias with prepuce island flap].
OBJECTIVE
To explore an effective method to repair penile-scrotal or perineal hypospadias in one stage with prepuce island flap.


METHODS
Different prepuce island flaps were designed according to the different pathological anatomy of the penile-scrotal or perineal hypospadias. The prepuce island flaps were thus translocated and sutured to form the urethra. Thirty-one cases of hypospadias (21 cases of peinil-scrotal type, 10 cases of perineal type) were repaired with prepuce island flap. The biggest length and the width of the prepuce island flap were 7.5 cm and 1.5-1.8 cm respectively.


RESULTS
All the cases resulted in a good contour of the penis and a normal anatomic position of urethral meatus without any redundancy or tortuosity. The urination was perfect and acceptable.


CONCLUSIONS
One stage repair of penile-scrotal or perineal hypospadias with prepuce island flap can be considered as an acceptable effective surgical technique.
Wang
Shanliang
S
Department of Plastic Surgery, Ninth People's Hospital of Shanghai Second Medical University, Shanghai, 200011, PR China.
Cheng
Kaixiang
K
Zhang
Ruhong
R
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D006801:Humans; D007021:Hypospadias / Q000145:classification / Q000601:surgery*; D008297:Male; D010413:Penis / Q000601:surgery*; D013524:Surgical Flaps; D014521:Urethra / Q000601:surgery*; D013521:Urologic Surgical Procedures, Male