[Staged treatment of the severe hypospadias in adult].
OBJECTIVE
To report the treatment of serious hypospadias in adults with free graft of tubed mouth mucosa and scrotal fascia flaps.


METHODS
The tubed mouth mucosa was free grafted to fabricate the distal segment of urethra. It was anastomosed to the urethra at the second stage. The scrotal fascia flap was used to cover the penile wound. The biggest flap was 3 cm in width and 6.5 cm in length.


RESULTS
From Jan. 2002 to Dec. 2007, 76 adults with severe hypospadias were treated. Infection happened in 4 cases. 2 cases had urethral fistula due to the partial flap necrosis which was healed automatically within 2-4 weeks. All the other patients healed primarily.


CONCLUSIONS
It is a good method for the treatment of serious hypospadias in adults with scrotal fascia flaps and free graft of tubed mouth mucosa which is anastomosed to the urethra at the second stage.
Li
Yang-qun
YQ
Plastic Surgery Hospital of Chinese Academy of Medical Sciences, Beijing 100144, China.
Li
Sen-kai
SK
Tang
Yong
Y
Chen
Wen
W
Zhou
Chuan-de
CD
Li
Qiang
Q
Yang
Zhe
Z
Li
Feng-yong
FY
Lu
Xiao-ji
XJ
D000293:Adolescent; D000328:Adult; D000714:Anastomosis, Surgical; D006801:Humans; D007021:Hypospadias / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009061:Mouth Mucosa / Q000637:transplantation*; D019651:Plastic Surgery Procedures / Q000379:methods*; D012611:Scrotum / Q000637:transplantation*; D016038:Skin Transplantation; D013524:Surgical Flaps; D055815:Young Adult