Prepuce-sparing hypospadias repair with tubularized incised plate urethroplasty.
OBJECTIVE
Modifications in surgical methods of hypospadias repair have been influenced by social considerations. Most Japanese parents wish their children to retain their foreskin during hypospadias repair. We report on short-term results of foreskin reconstruction associated with hypospadias repair.


METHODS
Of 44 tubularized incised plate urethroplasty-patients, 42 (95%) underwent foreskin reconstruction at the time of urethroplasty during the last 2 years. After the urethroplasty was completed, the foreskin was re-approximated in three layers.


RESULTS
Complications related to urethroplasty consisted of fistula in two patients with penoscrotal hypospadia, and mild stenosis of the glandular urethra in one patient. Complications related to foreskin reconstruction included dehiscence of the ventral foreskin in two patients. In all cases parents were well satisfied with the reconstructed prepuce.


CONCLUSIONS
Pre-operative information about preputial reconstruction should be given to parents if they would prefer their son to be uncircumcised.
Department of Urology, Osaka Medical Center and Research Institute for Maternal and Child Health, Osaka, Japan. shimada@mch.pref.osaka.jp
Kenji
K
Shimada
Fumi
F
Matsumoto
Futoshi
F
Matsui
Syuichi
S
Takano
D002675:Child, Preschool; D052816:Foreskin; D006801:Humans; D007021:Hypospadias / Q000601:surgery*; D007223:Infant; D008297:Male; D014521:Urethra / Q000601:surgery*; D013521:Urologic Surgical Procedures, Male / Q000379:methods