Modified Koyanagi's procedure for proximal hypospadias: our experience.
Koyanagi described an elegant technique for one-stage proximal hypospadias repair. It is particularly suited for the most severe forms of hypospadias. A modified Koyanagi technique was used to repair the hypospadias in 14 children, aged 3-9 years. One child developed breakdown of the suture line, three other children developed small urethrocutaneous fistula needing closure and one child had post-operative meatal stenosis. Despite the high rate of complications, modified Koyanagi's procedure is a good procedure of choice for severe/proximal hypospadias.
Nerli
Rajendra
R
KLES Kidney Foundation, Urology, KLES Dr Prabhakar Kore Hospital & MRC, Belgaum, India. rajendranerli@yahoo.in
Santhoshi
Poonacha
P
Guntaka
Ajaykumar
A
Patil
Shivagouda
S
Hiremath
Murigendra
M
D002648:Child; D002675:Child, Preschool; D006801:Humans; D007021:Hypospadias / Q000473:pathology / Q000601:surgery*; D008297:Male; D010413:Penis / Q000473:pathology / Q000601:surgery*; D011183:Postoperative Complications; D019651:Plastic Surgery Procedures / Q000379:methods*; D012611:Scrotum / Q000473:pathology / Q000601:surgery; D012720:Severity of Illness Index; D014521:Urethra / Q000473:pathology / Q000601:surgery*; D013521:Urologic Surgical Procedures, Male / Q000379:methods*