Tubularized incised plate urethroplasty with de-epithelialized flap.
OBJECTIVE
To improve the results of tubularized plate urethroplasty by adding de-epithelized flap.


METHODS
Twenty-five cases of hypospadias who underwent Snodgrass urethroplasty using de-epithelialized flap were studied. The minimum period of follow-up in this series was 1 year.


RESULTS
The resultant neo-meatus was vertically oriented and slit like. Glans was conical which is cosmetically well accepted. Penile raphe was in the midline. None of the patient had residual chordee, penile torsion, or glans dehiscence. Excellent cosmetic results were observed in all cases. The complication rate in our series was 8% (two cases). Two patients developed fistula.


CONCLUSIONS
De-epithelialized flap is a simple method to provide additional covering to the constructed neourethra after Snodgrass urethroplasty. It achieves our goal of noncrossing suture lines and providing maximum vascularity.
Department of Paediatric Surgery, College Building, LTMMC and Gen Hospital, Sion, Mumbai - 400 022, Maharashtra, India.
Arun Kumar
AK
Gupta
Dinesh
D
Sarda
Paras R
PR
Kothari
Ashish
A
Jiwane
Bharati K
BK
Kulkarni