title: Clinical results of one-stage urethroplasty with parameatal foreskin flap for hypospadias.
abstract: We investigated the usefulness of one-stage urethroplasty by the parameatal foreskin flap method (OUPF procedure), which is useful for repairing all types of hypospadias. Between June 1992 and March 2001, the OUPF procedure was performed on 18 patients with hypospadias: 10 patients with distal and 8 with proximal hypospadias. The follow-up periods ranged from 33-75 months, with an average of 52 months. The duration of surgery, the catheter indwelling period, and the postoperative complications of each patient were analyzed. The median age of the patients at the time of surgery was 3 years and 8 months. The length of surgery for OUPF II ranged from 150-230 min (average 186 min), and from 190-365 min (average 267 min) for OUPF IV. Postoperative complications were confirmed in 3 of the 18 patients (16.6%). Two patients had fistulas, and one had a meatal regression. The fistulas were successfully closed by the simple multilayered closure method. After adopting DuoDerm dressings instead of elastic bandages for protection of the wound, no fistulization occurred. DuoDerm dressings are useful in the healing of wounds without complications. To date, the longest follow-up period has been 75 months, and during that time there have been no late complications such as urethral stenosis or penile curvature. OUPF is a useful method in the treatment of hypospadias with a low incidence of early and late complications.
authors.affiliation: Department of Urology, Okayama University Graduate School of Medicine and Dentistry, Japan. atsnagai@md.okayama-u.ac.jp
authors.forename: Atsushi
authors.initials: A
authors.lastname: Nagai
authors.forename: Yasutomo
authors.initials: Y
authors.lastname: Nasu
authors.forename: Masami
authors.initials: M
authors.lastname: Watanabe
authors.forename: Norihiro
authors.initials: N
authors.lastname: Kusumi
authors.forename: Hiromu
authors.initials: H
authors.lastname: Tsuboi
authors.forename: Hiromi
authors.initials: H
authors.lastname: Kumon
mesh_terms: D000293:Adolescent; D047070:Bandages, Hydrocolloid; D002648:Child; D002675:Child, Preschool; D062109:Dermatologic Surgical Procedures; D005500:Follow-Up Studies; D006801:Humans; D007021:Hypospadias / Q000601:surgery*; D008297:Male; D011183:Postoperative Complications; D013524:Surgical Flaps; D016896:Treatment Outcome; D014521:Urethra / Q000601:surgery*; D013521:Urologic Surgical Procedures, Male / Q000379:methods*