Correction of hypospadias with a vertical preputial island flap: a 23-year experience.
OBJECTIVE
We report our experience using the preputial island flap technique (Scuderi procedure) to correct penile hypospadias.


METHODS
A total of 152 patients underwent repair between 1982 and 2004. Nine patients (6%) had proximal hypospadias, 46 (30%) had mid penile hypospadias and 97 (64%) had distal hypospadias. A total of 146 patients (96%) had not previously undergone surgical treatment, while 6 (4%) had undergone surgery.


RESULTS
After the primary repair 3 patients had fistula and 10 had mild stenosis. The immediate success rate was 91.4% (139 of 152 patients), which later increased to 98% (149 of 152) after nonsurgical treatment of the stenoses.


CONCLUSIONS
Preputial island flap urethroplasty is a versatile operation that corrects hypospadias and is particularly indicated if there is associated severe penile curvature, with a low complication rate and superior cosmetic results.
Scuderi
Nicolò
N
Department of Plastic and Reconstructive Surgery, University of Rome La Sapienza, Rome, Italy.
Chiummariello
Stefano
S
De Gado
Federico
F
D002675:Child, Preschool; D006801:Humans; D007021:Hypospadias / Q000601:surgery*; D008297:Male; D013524:Surgical Flaps; D013997:Time Factors; D013521:Urologic Surgical Procedures, Male / Q000379:methods