title: [One-stage urethroplasty with pedicled scrotal skin flap for hypospadias].
abstract: OBJECTIVE
  To summarize the experience in one-stage urethroplasty with pedicled scrotal skin flap for hypospadias, and improve its therapeutic effect.
  
  
  METHODS
  We retrospectively analyzed the clinical data of 310 cases of hypospadias (except coronal hypospadias) treated by one-stage urethroplasty with pedicled scrotal skin flap. All the patients were followed up for 6 to 24 months.
  
  
  RESULTS
  No postoperative complications were observed except urinary fistula, which occurred in 12.6% of the patients. Postoperative fistula formation was associated with the type of hypospadias, the length of the urethral defect and postoperative comprehensive medication, but not with the stent indwelling time after surgery. Most of the fistulae were located at the base of the penis.
  
  
  CONCLUSIONS
  One-stage urethroplasty with pedicled scrotal skin flap is a simple and effective option for all types of hypospadias except the coronal type, and postoperative treatment is very important.
authors.affiliation: Department of Urology, People's Hospital of Hunan Province, Changsha, Hunan 410005, China.
authors.forename: Yi-Xing
authors.initials: YX
authors.lastname: Duan
authors.forename: Jun-Bin
authors.initials: JB
authors.lastname: Yuan
authors.forename: Xi
authors.initials: X
authors.lastname: Guo
authors.forename: Wan-Rui
authors.initials: WR
authors.lastname: Wu
authors.forename: Xiong-Bing
authors.initials: XB
authors.lastname: Zu
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D006801:Humans; D007021:Hypospadias / Q000601:surgery*; D007223:Infant; D008297:Male; D019651:Plastic Surgery Procedures / Q000379:methods*; D012189:Retrospective Studies; D012611:Scrotum / Q000601:surgery; D016038:Skin Transplantation; D013524:Surgical Flaps; D014521:Urethra / Q000601:surgery*; D055815:Young Adult