Staged treatment of the severe hypospadias in adult.
- Author:
Yang-qun LI
1
;
Sen-kai LI
;
Yong TANG
;
Wen CHEN
;
Chuan-de ZHOU
;
Qiang LI
;
Zhe YANG
;
Feng-yong LI
;
Xiao-ji LU
Author Information
- Publication Type:Journal Article
- MeSH: Adolescent; Adult; Anastomosis, Surgical; Humans; Hypospadias; surgery; Male; Middle Aged; Mouth Mucosa; transplantation; Reconstructive Surgical Procedures; methods; Scrotum; transplantation; Skin Transplantation; Surgical Flaps; Young Adult
- From: Chinese Journal of Plastic Surgery 2009;25(2):101-103
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo report the treatment of serious hypospadias in adults with free graft of tubed mouth mucosa and scrotal fascia flaps.
METHODSThe tubed mouth mucosa was free grafted to fabricate the distal segment of urethra. It was anastomosed to the urethra at the second stage. The scrotal fascia flap was used to cover the penile wound. The biggest flap was 3 cm in width and 6.5 cm in length.
RESULTSFrom Jan. 2002 to Dec. 2007, 76 adults with severe hypospadias were treated. Infection happened in 4 cases. 2 cases had urethral fistula due to the partial flap necrosis which was healed automatically within 2-4 weeks. All the other patients healed primarily.
CONCLUSIONSIt is a good method for the treatment of serious hypospadias in adults with scrotal fascia flaps and free graft of tubed mouth mucosa which is anastomosed to the urethra at the second stage.
