title: Modified Koyanagi's procedure for proximal hypospadias: our experience.
abstract: 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.
authors.affiliation: KLES Kidney Foundation, Urology, KLES Dr Prabhakar Kore Hospital & MRC, Belgaum, India. rajendranerli@yahoo.in
authors.forename: Rajendra
authors.initials: R
authors.lastname: Nerli
authors.forename: Poonacha
authors.initials: P
authors.lastname: Santhoshi
authors.forename: Ajaykumar
authors.initials: A
authors.lastname: Guntaka
authors.forename: Shivagouda
authors.initials: S
authors.lastname: Patil
authors.forename: Murigendra
authors.initials: M
authors.lastname: Hiremath
mesh_terms: 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*