Use of the processes vaginalis: A new technique for reinforcing the neourethra in hypospadias associated with undescended testis.
BACKGROUND
The incidence of undescended testis (UDT) along with hypospadias varies from 6 to 31%. The simultaneous repair of UDT and hypospadias is rarely done. Herein, we present a novel technique to use processes vaginalis as a vascular cover for neourethra in a hypospadias patient with UDT. We have done urethroplasty and orchiopexy simultaneously. This is the first report concerning the use of processes vaginalis to reinforce the urethra.


OBJECTIVE
Simultaneous repair of hypospadias and undescended testis.


RESULTS
Both the patients withstood the procedure well. Postoperative period was uneventful. Patients passed urine in single stream without any fistula.


CONCLUSIONS
In patients of undescended testis with hypospadias, simultaneous repair with the processes vaginalis flap is an ideal technique with good results. Processes vaginalis is good vascular cover for neourethra.
Acharya
Himanshu
H
Department of Paediatric Surgery, Sir J J Group of Hospitals, Mumbai, India.
Mane
Shivaji B
SB
Dhende
Nitin P
NP
Obeidah
Abu
A