title: Two-stage complex hypospadias repair when urethral plate has to be divided: ventral corporoplasty using a tunica vaginalis flap.
abstract: OBJECTIVE
  To demonstrate ventral corporoplasty, with tunica vaginalis flap to reconstruct the corpora cavernosa, in a two-stage strategy for proximal hypospadias surgery.
  
  
  METHODS
  Assessment of residual curvature after complete urethral plate division and transverse superficial cuts in albuginea. Ventral incision of tunica albuginea to elongate the ventral surface of the penis and use of a tunica vaginalis flap to reconstruct the defect in corpora cavernosa. Dorsal preputial island flap was used to cover the penile ventral surface, to be tubularized in a second stage, together with the original urethral plate.
  
  
  RESULTS
  Patient had an uneventful follow-up. Penile aspect was very satisfactory with no residual curvature.
  
  
  CONCLUSIONS
  Tunica vaginalis is an attractive alternative for ventral corporoplasty in hypospadia repair and has the advantages of prompt disposability, autologous use, and does not represent an extra cost for treatment.
authors.affiliation: Division of Urology, Universidade Federal de São Paulo, São Paulo, Brazil.
authors.forename: Antonio
authors.initials: A
authors.lastname: Macedo
authors.forename: Herick
authors.initials: H
authors.lastname: Bacelar
authors.forename: Atila
authors.initials: A
authors.lastname: Rondon
authors.forename: Sergio
authors.initials: S
authors.lastname: Ottoni
authors.forename: Riberto
authors.initials: R
authors.lastname: Liguori
authors.forename: Gilmar
authors.initials: G
authors.lastname: Garrone
authors.forename: Bruno
authors.initials: B
authors.lastname: Leslie
authors.forename: Valdemar
authors.initials: V
authors.lastname: Ortiz
mesh_terms: D002675:Child, Preschool; D006801:Humans; D007021:Hypospadias / Q000601:surgery*; D008297:Male; D010413:Penis / Q000601:surgery; D013524:Surgical Flaps; D014521:Urethra / Q000601:surgery*; D013521:Urologic Surgical Procedures, Male / Q000379:methods*
keywords: Child; Hypospadias/surgery; Penis/surgery; Surgical flaps