One-Stage Repair Of Severe Hypospadias Using Modified Tubularized Transverse Preputial Island Flap With V-Incision Suture

Main Category: Urology / Nephrology
Article Date: 15 Jan 2009 - 3:00 PDT

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UroToday.com - In a recent article from the Journal of Pediatric Urology, Dr. Katsuya Aoki and his group reported the outcome of applying additional modifications to the modified tubularized transverse preputial island flap (TPIF) procedure for repairing severe hypospadias, a procedure previously reported by Patel et al1 . They retrospectively evaluated 22 patients (mean age 17.5 months) who underwent the modified TPIF with an additional simple modification of meatoplasty with V-incision suture. Patients were followed for a mean period of 18 months.

The group found that after releasing the chordee, the hypospadiac orifice was retracted to become penile in 5 patients (22.7%), penoscrotal in 6 (27.3%), scrotal in 9 (40.9%), and perineal in 2 (9.1%). The median length of the neourethra was 46 mm. One-stage repair was successful in 19 patients (86.4%) without any complications.

The group concluded that their modified TPIF procedure yielded favorable outcomes functionally and cosmetically with a low postoperative morbidity rate, and it can be considered useful for repairing severe hypospadias when the urethral plate cannot be preserved.

References: 1, Modified tubularized transverse preputial island flap repair for severe proximal hypospadias. BJU Int 2005;95:901-4

Aoki K, Fujimoto K, Yoshida K, Hirao Y, Ueoka K
J Pediatr Urol. 2008 Dec;4(6):438-41
10.1016/j.jpurol.2008.05.005

Written by UroToday.com Medical Editor Pasquale Casale, MD

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