De-epithelialized skin flap coverage in hypospadias repair

J Urol. 1988 Nov;140(5 Pt 2):1273-6. doi: 10.1016/s0022-5347(17)42022-2.

Abstract

The results in 84 hypospadias repairs using a de-epithelialized skin flap are reported. A variety of 1-stage repairs were applied including those of King, Mathieu, Mustardé and Duckett, and a combined midline and transverse island flap for perineal hypospadias. In each repair a flap of transposed prepuce was swung ventral, de-epithelialized and applied over the urethroplasty. In all but 2 repairs complete coverage of the urethra was achieved by this technique. Reoperation was required in 7 patients (8 per cent) but in only 3 (3.5 per cent) ws this to close a urethrocutaneous fistula. The addition of a de-epithelialized flap to create a layer completely covering the neourethra appears to reduce the incidence of fistulas significantly.

MeSH terms

  • Adolescent
  • Child
  • Child, Preschool
  • Humans
  • Hypospadias / therapy*
  • Male
  • Medical Illustration
  • Penis
  • Postoperative Complications
  • Reoperation
  • Skin Transplantation*
  • Surgical Flaps*
  • Urethra / surgery