title: Modified Snodgrass tubularized incised plate urethroplasty prevents fistula formation in hypospadias.
abstract: Urethrocutaneous fistula is a common complication after redo urethroplasty for hypospadias, or urethroplasty for patients with thin urethral plate. We modified Snodgrass' tubularized incised plate urethroplasty (STIPU) by stripping the most superficial skin from both sides of the U-shaped incision to expose more subcutaneous tissue along the suture line. Our modified STIPU would appear to be effective in preventing postoperative urethrocutaneous fistula formation in redo urethroplasty for hypospadias, and urethroplasty for patients with thin urethral plate.
authors.affiliation: Department of Pediatric General and Urogenital Surgery, Juntendo University School of Medicine, 2-1-1 Hongo, Bunkyo-ku, Tokyo, 113-8421, Japan. yama@juntendo.ac.jp
authors.forename: Atsuyuki
authors.initials: A
authors.lastname: Yamataka
authors.forename: Akihiro
authors.initials: A
authors.lastname: Shimotakahara
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Koga
authors.forename: Go
authors.initials: G
authors.lastname: Miyano
authors.forename: Geoffrey J
authors.initials: GJ
authors.lastname: Lane
authors.forename: Joel
authors.initials: J
authors.lastname: Cazares
authors.forename: Abudebieke
authors.initials: A
authors.lastname: Halibieke
authors.forename: Manabu
authors.initials: M
authors.lastname: Okawada
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005500:Follow-Up Studies; D006801:Humans; D007021:Hypospadias / Q000150:complications* / Q000601:surgery; D007223:Infant; D008297:Male; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps; D013997:Time Factors; D016896:Treatment Outcome; D014521:Urethra / Q000601:surgery*; D014522:Urethral Diseases / Q000209:etiology / Q000517:prevention & control*; D014548:Urinary Fistula / Q000209:etiology / Q000517:prevention & control*; D013521:Urologic Surgical Procedures, Male / Q000379:methods*