title: Scrotal dartos flap for the prevention of the urethrocutaneous fistula on hypospadias urethroplasty.
abstract: BACKGROUND
  Urethrocutaneous fistula is a common complication of urethroplasty for severe hypospadias, even when a microsurgical technique is applied.
  
  
  METHODS
  From June 2001 to July 2003, we applied the scrotal dartos flap wrapping technique to prevent the occurrence of urethrocutaneous fistula in 14 patients with hypospadias.
  
  
  RESULTS
  Hypospadias was repaired without fistula formation in all but one patient, who developed a tiny fistula which was later closed successfully by a simple procedure.
  
  
  CONCLUSIONS
  We recommend the scrotal dartos wrapping technique for covering the neourethra with a well-vascularized flap because of fewer complications, although the procedure to obtain the vascularized flap may take longer.
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: Satoshi
authors.initials: S
authors.lastname: Kurokawa
authors.forename: Kentaro
authors.initials: K
authors.lastname: Mizuno
authors.forename: Akihiro
authors.initials: A
authors.lastname: Nakane
authors.forename: Kenjiro
authors.initials: K
authors.lastname: Kohri
mesh_terms: D002675:Child, Preschool; D017577:Cutaneous Fistula / Q000209:etiology / Q000517:prevention & control*; D006801:Humans; D007021:Hypospadias / Q000601:surgery*; D007223:Infant; D008297:Male; D019651:Plastic Surgery Procedures / Q000009:adverse effects; D012611:Scrotum / Q000601:surgery; D014522:Urethral Diseases / Q000209:etiology / Q000517:prevention & control*; D013521:Urologic Surgical Procedures, Male / Q000009:adverse effects*