title: [Staged treatment of the severe hypospadias in adult].
abstract: 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.
authors: Plastic Surgery Hospital of Chinese Academy of Medical Sciences, Beijing 100144, China.
authors: Yang-qun
authors: YQ
authors: Li
authors: Sen-kai
authors: SK
authors: Li
authors: Yong
authors: Y
authors: Tang
authors: Wen
authors: W
authors: Chen
authors: Chuan-de
authors: CD
authors: Zhou
authors: Qiang
authors: Q
authors: Li
authors: Zhe
authors: Z
authors: Yang
authors: Feng-yong
authors: FY
authors: Li
authors: Xiao-ji
authors: XJ
authors: Lu
mesh_terms: 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