title: Total preputial flap: a reliable and versatile technique for urethral and penile reconstruction.
abstract: We revisit the technique of total preputial flap (TPF) and its application for urethroplasty, penile skin coverage of both and present our results in 43 patients (41 hypospadias, 2 epispadias). There were no instances of flap necrosis. In patients without prior attempts at reconstruction (n = 36), we observed four urethrocutaneous fistulas. TPF allowed the repair of cases of proximal hypospadias in one stage with an acceptable complication rate.
authors.affiliation: Pediatric Surgery and Urology, Auf der Bult Kinder- und Jugendkrankenhaus , Hannover , Germany.
authors.forename: Barbara
authors.initials: B
authors.lastname: Ludwikowski
authors.affiliation: Pediatric Surgery and Urology, Auf der Bult Kinder- und Jugendkrankenhaus , Hannover , Germany.
authors.forename: Ricardo
authors.initials: R
authors.lastname: González
keywords: chordee; epispadias; hypospadias; island flap; onlay urethroplasty; preputial flap