title: Correcting Glanular Dislocation in Hypospadias With Up-to-Tip Technique and Double Wing Flaps.
abstract: BACKGROUND
  The surgical treatment of hypospadias contains urethral reconstruction and correction of penile curvature. In some severe type of hypospadias, it also needs correction of penoscrotal transposition and cleft of scrotum. However, there are few literatures that refer to the correcting of deformity of glanular dislocation.
  
  
  OBJECTIVE
  This study aimed to correct the deformity of glanular dislocation in patients with hypospadias with up-to-tip technique and double wing flaps.
  
  
  METHODS
  From May of 2011 to September of 2012, 49 patients who underwent hypospadias with glanular dislocation repairing received up-to-tip technique to correct the deformity of glanular dislocation in our department by a single surgeon (J.Z.). An X-shaped incision was made in the ventral median of glans, and the glans was dissected from the penis cavernosus, then 2 wing-shaped flaps appeared. The 2 sides of flaps were rotated and lifted with new urethra inside. The divergent glans flaps were closed with vertical mattress suture. Follow-up was from 12 to 30 months.
  
  
  RESULTS
  All patients had excellent cosmetic results immediately after the operation. The glans was straight and was upturned obviously. The wing flaps of glans were partially dehisced in 2 (4.08%) cases after the operation. The other patients had good wound healing. No urethral stricture in distal urethra was observed.
  
  
  CONCLUSIONS
  Up-to-tip technique and double wing flap can effectively correct the deformity of glanular dislocation in the patients with hypospadias. After the operation, the glans configuration was improved.
authors.affiliation: From the Department of Plastic Surgery, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou City, Guangdong Province, China.
authors.forename: Chenyang
authors.initials: C
authors.lastname: Ji
authors.forename: Jinming
authors.initials: J
authors.lastname: Zhang
authors.forename: Weiqiang
authors.initials: W
authors.lastname: Liang
authors.forename: Shujuan
authors.initials: S
authors.lastname: Pan
authors.forename: Yuhong
authors.initials: Y
authors.lastname: Chen
authors.forename: Jiaqi
authors.initials: J
authors.lastname: Zhang
authors.forename: Yuanyuan
authors.initials: Y
authors.lastname: Yao
mesh_terms: D000015:Abnormalities, Multiple / Q000601:surgery*; D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D015331:Cohort Studies; D005500:Follow-Up Studies; D006801:Humans; D007021:Hypospadias / Q000601:surgery*; D007223:Infant; D008297:Male; D010413:Penis / Q000002:abnormalities* / Q000601:surgery; D019651:Plastic Surgery Procedures / Q000379:methods*; D020127:Recovery of Function; D012189:Retrospective Studies; D018570:Risk Assessment; D012611:Scrotum / Q000002:abnormalities* / Q000601:surgery; D013524:Surgical Flaps / Q000098:blood supply / Q000637:transplantation*; D016896:Treatment Outcome; D014521:Urethra / Q000002:abnormalities / Q000601:surgery*; D014522:Urethral Diseases / Q000601:surgery*; D055815:Young Adult