title: Q-island flap urethroplasty: 1-stage procedure for reconstruction of Y-type urethral duplications in children.
abstract: OBJECTIVE
  We review our experience with Q-flap urethroplasty in children with Y-type urethral duplication.
  
  
  METHODS
  Six children with Y-type urethral duplication underwent 1-stage urethral reconstruction using Q-flap urethroplasty between 1988 and 2012. The ventral hypospadiac urethra was always the functional one, and, therefore, was used for urethroplasty.
  
  
  RESULTS
  Mean age at surgery was 5 years (range 1 to 13). All 6 patients had an excellent cosmetic result, with a normal appearing penis, a large apical meatus and no skin chordee. All 6 voided normally. None of the 6 children required reoperation. The only complications were urethral stenosis in 2 patients and lower urinary tract infection in 3. Cosmetic and functional results were analyzed during a mean followup of 8 years (range 1 to 12).
  
  
  CONCLUSIONS
  Q-flap urethroplasty provides a long penile skin flap that allows 1-stage reconstruction in children with Y-type urethral duplication, with good cosmetic and functional results.
authors.affiliation: Department of Pediatric Urology and Surgery, Hôpital Necker-Enfants-Malades, APHP, Paris Descartes University, Paris, France. Electronic address: raffoul_lara@hotmail.com.
authors.forename: Lara
authors.initials: L
authors.lastname: Raffoul
authors.affiliation: Department of Pediatric Surgery, University of Caen Hospital, Université de Caen Basse-Normandie, UFR Médecine, Caen, France.
authors.forename: Julien
authors.initials: J
authors.lastname: Rod
authors.affiliation: Department of Pediatric Surgery, University of Caen Hospital, Université de Caen Basse-Normandie, UFR Médecine, Caen, France.
authors.forename: Philippe
authors.initials: P
authors.lastname: Ravasse
authors.affiliation: Department of Pediatric Urology and Surgery, Hôpital Necker-Enfants-Malades, APHP, Paris Descartes University, Paris, France.
authors.forename: Thomas
authors.initials: T
authors.lastname: Blanc
authors.affiliation: Department of Pediatric Urology and Surgery, Hôpital Necker-Enfants-Malades, APHP, Paris Descartes University, Paris, France.
authors.forename: Stephen
authors.initials: S
authors.lastname: Lortat-Jacob
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D006801:Humans; D007223:Infant; D008297:Male; D013524:Surgical Flaps; D014521:Urethra / Q000002:abnormalities* / Q000601:surgery*; D013521:Urologic Surgical Procedures, Male / Q000379:methods
keywords: congenital abnormalities; male; surgical flaps; urethra; urogenital abnormalities; urologic surgical procedures