Folding and everting distal end of graft flap to reduce orifice stenosis following onlay urethroplasty.
- Author:
Rui JIANG
1
;
Jiang-Hua CHEN
;
Hong-Wei LI
;
Tong-Liang CHEN
Author Information
- Publication Type:Journal Article
- MeSH: Adolescent; Adult; Child; Child, Preschool; Follow-Up Studies; Humans; Male; Surgical Flaps; Treatment Outcome; Urethra; surgery; Urethral Stricture; prevention & control; Urologic Surgical Procedures, Male; methods
- From: Asian Journal of Andrology 2003;5(2):159-161
- CountryChina
- Language:English
-
Abstract:
AIMOrifice stenosis remained to be a common complication of hypospadias repair. We had modified the preputial island flap urethroplasty by folding and everting the distal end of the pedicle graft flap to prevent the neo-orifice from stenosis.
METHODSSixteen patients had undergone hypospadias repair using a modified onlay island flap technique. A urethral catheter was retained for 8 days to 10 days after operation.
RESULTSSatisfactory results were seen in all the patients with a cosmetically fine appearance. One patient had a urinary tract infection and another, urethrocutaneous fistula and both were amply treated. No glanular adhesion or stenosis occurred. A long-term follow up of 6 months to 4 years (mean: 2 years) in 15 patients did not find any complication.
CONCLUSIONThe modified preputial island flap urethroplasty technique is an easy, reliable and effective approach to reduce orifice stenosis in hypospadias repair.
