A new technique for correction of distal penile hypospadias.
The major aims of correction of hypospadias include construction of a neourethra, removal of the chordee, and reduction of the probability of postoperative fistulization. Here, we describe a new technique that can be easily used in cases with subcoronal distal penile hypospadias (even those with chordee) for the construction of the urethra using meatus-based transverse flaps. This new technique was used in 10 patients (mean age, 4.6 years). There were no complications such as fistula formation, chordee recurrence, hematoma formation, or flap necrosis during the follow-up period (mean follow-up period, 13.4 months). We believe that this surgical technique can be used in cases with chordee, carries a low risk of fistula formation, has the advantage of the use of richly vascular flaps for construction of the urethra, and yields a better cosmetic result. Hence, it can safely be used for surgical correction of distal hypospadias.
Kutlay
Rohat
R
Department of Plastic and Reconstructive Surgery, Avukat Cengiz Gokcek State Hospital, Gaziantep, Turkey.
Isik
Daghan
D
Ercel
Coskun
C
Anlatici
Recep
R
Isik
Yasemin
Y
D002408:Catheters, Indwelling; D002648:Child; D002675:Child, Preschool; D004954:Esthetics; D005500:Follow-Up Studies; D006801:Humans; D007021:Hypospadias / Q000601:surgery*; D008297:Male; D010413:Penis / Q000601:surgery*; D013524:Surgical Flaps; D013536:Suture Techniques; D014521:Urethra / Q000601:surgery