The application of penile base staggered flap in the operation of severe hypospadias with penoscrotal transposition
10.3760/cma.j.issn.1009-4598.2018.08.007
- VernacularTitle: 阴茎根部交错皮瓣在重度尿道下裂合并阴茎阴囊转位手术中的应用
- Author:
Xiaojiang ZHU
1
;
Liqu HUANG
;
Jun DONG
;
Geng MA
;
Zheng GE
;
Yunfei GUO
Author Information
1. Department of Urology, Children′s Hospital of Nanjing Medical University, Nanjing 210008, China
- Publication Type:Journal Article
- Keywords:
Hypospadias;
Penoscrotal transposition;
Urethroplasty;
Surgical flap
- From:
Chinese Journal of Plastic Surgery
2018;34(8):614-617
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the application of penile base staggered flap in the operation of severe hypospadias with penoscrotal transposition.
Methods:Twenty-three cases with severe hypospadias with penoscrotal transposition were corrected by urethroplasty and staggered flap plasty in our department from May 2013 to June 2016. After urethroplasty, the skin at the junction of the penile base and scrotum was transversely cut by 1.5-2.0 cm, and then sutured with Z-plasty to reconstruct the angle of the penis and scrotum.
Results:After the operation, infection and cracking at the suture of the staggered flap occurred in one child and was cured after dressing change and symptomatic treatment. Two cases suffered from urine leakage at the suture of the staggered flap. One of the cases realized self-healing and the other received a repair operation for urinary fistula. Three children suffered coronary sulcus fistula and was cured by urethroplasty. All the patients were followed up from 10 to 30 months with normal penis scrotal position and satisfactory appearance.
Conclusions:The application of penile base staggered flap can be used for severe hypospadias in one stage with penoscrotal transposition surgery. It is a simple and satisfactory method for the treatment of hypospadias with penoscrotal transposition.
