Koyanagi technique for repairing proximal hypospadias with penoscrotal transposition.
- Author:
Sheng-li GU
1
;
Xue-song LUO
;
Liang-wu HU
Author Information
- Publication Type:Journal Article
- MeSH: Abnormalities, Multiple; surgery; Child; Child, Preschool; Free Tissue Flaps; Humans; Hypospadias; surgery; Male; Penis; abnormalities; surgery; Reconstructive Surgical Procedures; methods; Scrotum; abnormalities; surgery; Urethra; surgery; Urethral Diseases; surgery; Urologic Surgical Procedures, Male; methods
- From: Chinese Journal of Plastic Surgery 2011;27(4):269-272
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo investigate the application of Koyanagi technique for repairing proximal hypospadias with penoscrotal transposition.
METHODSKoyanagi procedure was used for repairing proximal hypospadias with penoscrotal transposition in 26 boys (mean age 4.2 years) between July 2005 and June 2010.
RESULTSPrimary healing was achieved in 22 cases. Three patients suffered from urinary fistula and the external urethral orifice in one patient was retracted to penis coronary sulcus, who were re-operated successfully. Two cases showed slight penile ventral curvature. Slight stricture of the urethral external orifice was noted in one case, which relieved after one to two times of urethral sounding every week for eight months. 20 patients were followed up for 6-36 months (mean 10.5 months) with good cosmetic result and normal urethra function. The penoscrotal transposition was also corrected.
CONCLUSIONSThe original Koyanagi procedure might be one of the simple and effective method for repairing proximal hypospadias with penoscrotal transposition.
