Scrotal dartos flap for the prevention of the urethrocutaneous fistula on hypospadias urethroplasty.
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.
Hayashi
Yutaro
Y
Department of Nephro-urology, Nagoya City University, Graduate School of Medical Sciences, Nagoya, Japan. yutaro@med.nagoya-cu.ac.jp
Kojima
Yoshiyuki
Y
Kurokawa
Satoshi
S
Mizuno
Kentaro
K
Nakane
Akihiro
A
Kohri
Kenjiro
K
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*