Vascularized Dartos Flap in Conjunction with Tubularized Incised Plate Urethroplasty: Single versus Double Flaps for Management of Distal Hypospadias
• 2012
Publication Information
Authors
Ayman Safwat, Ahmed Mahmoud Al-Adl, Tarek El-Karamany
Keywords
Not Available
Journal
Not Available
Publisher
Not Available
Volume
Not Available
Issue
Not Available
Pages
Not Available
publication.type
International
Paper Link
Open Link
Supplementary Materials
Not Available
Abstract
Objective: To compare the results of Snodgrass repair with single versus double vascularizeddartos pedicle flap for neouretheral coverage. Patients and Methods: Fifty – eight pediatric patients with mean age 41.5 + 21 months and range from 9 to 96 months underwent primary hypospadias repair, 39 uncircumcised and 19 circumcised, classified into 2 groups according to coverage of the neourethra. Single layer coverage was performed in28 (48.3%) (Group 1) while double layers coverage was done in 30 (51.7%) cases (Group 2). Results: After mean follow up 8.6 + 5.4 months (from 3 to 24 months), good cosmetic results with vertical slit like meatus at the tip of conical shaped glanswere obtained in 53 cases (91.4%).Postoperative complications in five cases, 4/28 cases in group 1, urethrocutaneous fistula in two (7.1%),meatal stenosis in 1/28 (3.6%) and skin necrosis in 1/28(3.6%). Glanular dehiscence was found in 1/30 (3.3%) in group 2. No fistula was observed in group 2. Conclusion: The Snodgrass TIP repair in conjunction with double layer coverage of the neourethracould beconsidered the
Staff Members - Benha University