title: One-stage repair of proximal hypospadias with severe chordee by in situ tubularization of the transverse preputial island flap.
abstract: BACKGROUND
  To investigate a modified transverse preputial island flap repair which is performed in an attempt to reduce the complications following one-stage repair of proximal hypospadias with chordee.
  
  
  METHODS
  Briefly, the two ends of the flap were trimmed into V shape and anastomosed with the spatulated urethra proximally and urethral plate distally before tubularization. Then the in situ tubularization of the flap was performed. The procedure was performed in our hospital on 32 patients (mean age = 11 months). They were followed for 12-38 months.
  
  
  RESULTS
  The length of the urethral defect ranged from 4.0-6.0 cm after chordee correction. Urethrocutaneous fistulae occurred in 6 (18.7%) cases. No urethral strictures or meatal stenoses were observed. 29/32 families were satisfied with the cosmetic results.
  
  
  CONCLUSIONS
  This procedure seems straightforward and reliable, leading to good result after a short-term follow-up.
authors.affiliation: Department of Urology, Shanghai Children's Hospital, Shanghai Jiaotong University, China.
authors.forename: Yichen
authors.initials: Y
authors.lastname: Huang
authors.affiliation: Department of Urology, Shanghai Children's Hospital, Shanghai Jiaotong University, China.
authors.forename: Hua
authors.initials: H
authors.lastname: Xie
authors.affiliation: Department of Urology, Shanghai Children's Hospital, Shanghai Jiaotong University, China.
authors.forename: Yiqing
authors.initials: Y
authors.lastname: Lv
authors.affiliation: Department of Urology, Shanghai Children's Hospital, Shanghai Jiaotong University, China.
authors.forename: Ling
authors.initials: L
authors.lastname: Yu
authors.affiliation: Department of Urology, Shanghai Children's Hospital, Shanghai Jiaotong University, China.
authors.forename: Li
authors.initials: L
authors.lastname: Sun
authors.affiliation: Department of Urology, Shanghai Children's Hospital, Shanghai Jiaotong University, China.
authors.forename: Xiaoxi
authors.initials: X
authors.lastname: Li
authors.affiliation: Department of Urology, Shanghai Children's Hospital, Shanghai Jiaotong University, China.
authors.forename: Yan
authors.initials: Y
authors.lastname: Chen
authors.affiliation: Department of Urology, Shanghai Children's Hospital, Shanghai Jiaotong University, China.
authors.forename: Huizhen
authors.initials: H
authors.lastname: Sun
authors.affiliation: Department of Urology, Shanghai Children's Hospital, Shanghai Jiaotong University, China. Electronic address: doctorchenfang@126.com.
authors.forename: Fang
authors.initials: F
authors.lastname: Chen
mesh_terms: D015331:Cohort Studies; D006801:Humans; D007021:Hypospadias / Q000601:surgery*; D007223:Infant; D008297:Male; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps; D016896:Treatment Outcome
keywords: Chordee; Hypospadias; Island flap