Tunica vaginalis reinforcement flap in reoperative Snodgrass procedure

Interposing vascularized flaps between urethra and skin sutures is recommended in hypospadias surgery to decrease the rate of urethrocutaneous fistula. For this purpose nine patients with failed results after at least one hypospadias surgery and with insufficient foreskin were included in the study....

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Bibliographic Details
Published in:Pediatric surgery international 2003-11, Vol.19 (9-10), p.649-651
Main Authors: GÜRDAL, Mesut, KARAMAN, M. Ihsan, KANBEROGLU, Hüseyin, KIRECCI, Sinan
Format: Article
Language:English
Subjects:
Adolescent
Biological and medical sciences
Child
Child, Preschool
General aspects
Humans
Hypospadias - surgery
Male
Malformations of the urinary system
Medical sciences
Nephrology. Urinary tract diseases
Reoperation
Surgical Flaps
Testis - surgery
Treatment Outcome
Urinary system involvement in other diseases. Miscellaneous
Urinary tract. Prostate gland
Urologic Surgical Procedures, Male - methods
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Summary:Interposing vascularized flaps between urethra and skin sutures is recommended in hypospadias surgery to decrease the rate of urethrocutaneous fistula. For this purpose nine patients with failed results after at least one hypospadias surgery and with insufficient foreskin were included in the study. Tubularized incised plate uretroplasty and tunica vaginalis reinforcement flap were performed to all patients with normal urethral plate. After a mean follow-up of 8.9 months (range 3-20) only one patient had developed a fistula. We believe that tunica vaginalis reinforcement flap decreases fistulas in reoperative hypospadias surgery in patients with insufficient foreskin or with a circumcised penis.
ISSN:0179-0358
1437-9813
DOI:10.1007/s00383-003-0989-2