Ventral based dartos flap for the prevention of the urethrocutaneous fistula urethroplasty.
BACKGROUND
Urethrocutaneous fistula is a common complication of urethroplasty for hypospadias even when a microsurgical technique is applied.


METHODS
From January 1999 to November 2006, we applied the ventral based dartos flap wrapping technique to prevent the occurrence of urethrocutaneous fistula in 34 patients with hypospadias.


RESULTS
Hypospadias was repaired without fistula formation in 31 patients while three patients developed a tiny fistula, which was later closed successfully by a simple procedure.


CONCLUSIONS
We conclude that the ventral based dartos flap wrapping technique could be an alternative to the dorsal dartos flap for covering the neourethra with a vascularized flap because the procedure is very simple, and complications rarely occur.
Department of Nephro-urology, Graduate School of Medical Sciences, Nagoya City University, Nagoya, Japan. yutaro@med.nagoya-cu.ac.jp
Yutaro
Y
Hayashi
Yoshiyuki
Y
Kojima
Akihiro
A
Nakane
Satoshi
S
Kurokawa
Keiichi
K
Tozawa
Kenjiro
K
Kohri
D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D017577:Cutaneous Fistula / Q000517:prevention & control*; D006801:Humans; D007021:Hypospadias / Q000601:surgery*; D007223:Infant; D008297:Male; D011183:Postoperative Complications / Q000517:prevention & control; D019651:Plastic Surgery Procedures; D012611:Scrotum / Q000601:surgery; D013524:Surgical Flaps; D014521:Urethra / Q000601:surgery; D014548:Urinary Fistula / Q000517:prevention & control*; D013521:Urologic Surgical Procedures, Male