Application of tunica dartos flap coverage to tubularized incised plate urethroplasty.
- Author:
Zhi-Yong JIANG
1
;
Xue-De LI
;
Qing-Xin HE
;
Sheng-Hai FAN
;
Zhong-Xing WANG
;
Jing-Hua BI
Author Information
- Publication Type:Journal Article
- MeSH: Adolescent; Child; Child, Preschool; Humans; Hypospadias; surgery; Infant; Male; Reconstructive Surgical Procedures; methods; Scrotum; blood supply; Subcutaneous Tissue; transplantation; Surgical Flaps; blood supply; Urethra; surgery; Urinary Fistula; prevention & control; surgery; Urologic Surgical Procedures, Male; methods; Young Adult
- From: National Journal of Andrology 2013;19(10):927-930
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo investigate the application of tunica dartos flap coverage to the prevention of urinary fistula in tubularized incised plate (TIP) urethroplasty.
METHODSThis study included 140 cases of hypospadias following TIP urethroplasty, aged 1.9-22 (mean 5.6) years. Of the total number, 85 cases of the distal type were treated by coverage of the neourethra with the longitudinal ventrolateral pedicled-dartos penile skin flap, while the other 55 cases of the proximal type with the pedicled-dartos flap of arteriae scrotales anteriories.
RESULTSUrethrocutaneous fistula occurred in 12 of the patients, including 7 cases of distal and 6 cases of proximal hypospadias.
CONCLUSIONFor distal hypospadias, the longitudinal ventrolateral pedicled-dartos penile skin flap can be used, while for proximal urethroplasty, the pedicled-dartos flap of arteriae scrotales anteriories can be applied in coverage of the neourethra, which can effectively reduce the incidence of fistula.
