title: Kutlay technique for hypospadias repair.
abstract: OBJECTIVE
  Although many techniques have been described, new techniques with a wide range of therapeutic options are needed. The Kutlay technique is a novel technique that is based on the reconstruction of the neourethra with two horizontal meatal-based skin flaps. In the present study, the data of 31 patients who underwent surgery with the Kutlay technique are presented.
  
  
  METHODS
  Thirty-one patients with hypospadias with an average age of 5.6 years who did not have previous hypospadias repair were operated on with the Kutlay technique. Ten patients had chordee. Among those patients, three patients were circumcised.
  
  
  RESULTS
  The patients were followed up for 4-13 months (average, 9.3 months). During the follow-up period, a fistula was observed in only one patient. None of the patients developed neourethral dehiscence, meatal stenosis, urethral stricture, wound infection, penile torsion, hematoma, or persistent or recurrent chordee. On uroflowmetry studies, the maximum flow rate of the patients was approximately 10.5 ml/s (range, 6-17 ml/s). The patients were observed to void with a single straight urinary stream in a forward direction.
  
  
  CONCLUSIONS
  The Kutlay technique is a technique that is easily applied in patients with chordee and that provides a low risk of fistulas and acceptable functional and esthetic results. The factors that reduce the risk of fistula are the lack of the superposition of the suture lines of the skin and the urethra, the reconstruction of the urethra with well-vascularized flaps, and the replacement of the neourethra in its appropriate location through the tunnel created in the glans.
authors.affiliation: Department of Urology, School of Medicine, Yuzuncu Yil University, Van, Turkey.
authors.forename: Ilhan
authors.initials: I
authors.lastname: Gecit
authors.forename: Daghan
authors.initials: D
authors.lastname: Isik
authors.forename: Necip
authors.initials: N
authors.lastname: Pirincci
authors.forename: Salim
authors.initials: S
authors.lastname: Bilici
authors.forename: Mustafa
authors.initials: M
authors.lastname: Gunes
authors.forename: Yasin
authors.initials: Y
authors.lastname: Canbaz
authors.forename: O
authors.initials: O
authors.lastname: Faruk Kocak
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D017577:Cutaneous Fistula / Q000209:etiology; D006801:Humans; D007021:Hypospadias / Q000601:surgery*; D007223:Infant; D008297:Male; D010413:Penis / Q000002:abnormalities / Q000601:surgery*; D011183:Postoperative Complications / Q000209:etiology*; D013524:Surgical Flaps; D014521:Urethra / Q000601:surgery*; D014522:Urethral Diseases / Q000209:etiology*; D014548:Urinary Fistula / Q000209:etiology; D014563:Urodynamics