title: Novel technique for correcting penile curvature with severe hypospadias; ventral lengthening with tunica vaginalis flap patching.
abstract: The adequate correction of penile curvature is essential for successful hypospadias surgery. We describe a novel technique to correct severe penile curvature with a tunica vaginalis flap on the penile ventrum. We applied a tunica vaginalis flap to lengthen the ventral aspect of the tunica albuginea in two boys with significant curvature and proximal hypospadias. Tunica vaginalis flap patching to the ventral aspect of the penis is safe and technically feasible. If penile curvature is severe or the penis is small in hypospadiac patients, lengthening the ventral aspect using a tunica vaginalis flap is likely to expand instead of dorsal plication or ventral graft.
authors.affiliation: Department of Nephro-urology, Nagoya City University, Graduate School of Medical Sciences, Nagoya, Japan. yutaro@med.nagoya-cu.ac.jp
authors.forename: Yutaro
authors.initials: Y
authors.lastname: Hayashi
authors.forename: Yoshiyuki
authors.initials: Y
authors.lastname: Kojima
authors.forename: Kentaro
authors.initials: K
authors.lastname: Mizuno
authors.forename: Akihiro
authors.initials: A
authors.lastname: Nakane
authors.forename: Satoshi
authors.initials: S
authors.lastname: Kurokawa
authors.forename: Kenjiro
authors.initials: K
authors.lastname: Kohri
mesh_terms: D002675:Child, Preschool; D006801:Humans; D007021:Hypospadias / Q000601:surgery; D008297:Male; D010413:Penis / Q000002:abnormalities* / Q000601:surgery*; D013524:Surgical Flaps; D013521:Urologic Surgical Procedures, Male / Q000379:methods*