Tunica vaginalis reinforcement flap in reoperative Snodgrass procedure.

Abstract:

:Interposing vascularized flaps between urethra and skin sutures is recommended in hypospadias surgery to decrease the rate of urethrocutaneous fistula. For this purpose nine patients with failed results after at least one hypospadias surgery and with insufficient foreskin were included in the study. Tubularized incised plate uretroplasty and tunica vaginalis reinforcement flap were performed to all patients with normal urethral plate. After a mean follow-up of 8.9 months (range 3-20) only one patient had developed a fistula. We believe that tunica vaginalis reinforcement flap decreases fistulas in reoperative hypospadias surgery in patients with insufficient foreskin or with a circumcised penis.

journal_name

Pediatr Surg Int

authors

Gürdal M,Karaman MI,Kanberoğlu H,Kireççi S

doi

10.1007/s00383-003-0989-2

subject

Has Abstract

pub_date

2003-11-01 00:00:00

pages

649-51

issue

9-10

eissn

0179-0358

issn

1437-9813

journal_volume

19

pub_type

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