Year : 2016 | Volume
: 6 | Issue : 2 | Page : 121--126
One-Stage repair of hypospadias using the modified prepucial island flap technique: Experience with 200 cases
Aditya P Singh, Arvind K Shukla, Pramila Sharma, Ramji Prasad
Department of Pediatric Surgery, SMS Medical College, Jaipur, Rajasthan, India
Background: Surgical repair of hypospadias has taxed the skills of surgeons the world over. One-stage repair is preferable because it decreases operative trauma, allows use of virgin unscarred tissue, decreases number of hospitalizations, and hence is more economical than two-stage repairs. During the last 7 years, the author has managed 200 cases of hypospadias and their complications in a tertiary care service hospital. This study aimed to evaluate the outcomes of using modified onlay island flap technique in the repair of hypospadias with a narrow urethral plate.
Patients and Methods: In this prospective study conducted between June 2008 and June 2015, we performed modified onlay island flap procedure for the repair of hypospadias with a narrow urethral plate – less than 7 mm. This technique was used for all types of hypospadias with minimal or no chordee except penoscrotal. We did not require any tunica plication in our study.
Results: Two hundred patients with age ranging from 3 years to 10 years (average 5 years) underwent modified onlay island flap repair; all had a narrow urethral plate of less than 7 mm; 30 (15%) had mild chordee. Meatus was located in coronal in 10 (5%) cases, subcoronal in 120 (60%), midpenile in 50 (25%), and proximal penile in 20 (10%) patients. Chordee was corrected with degloving only in 30 (15%) patients. Complications were meatal stenosis in none and urethrocutaneous fistula in 10 (5%) patients. Mean follow-up duration was 12 months.
Conclusion: This technique offers acceptable results regarding meatal stenosis, urethrocutaneous fistula, along with good aesthetic outcome.
Aditya P Singh
Department of Pediatric Surgery, SMS Medical College, Jaipur, Rajasthan
|How to cite this article:|
Singh AP, Shukla AK, Sharma P, Prasad R. One-Stage repair of hypospadias using the modified prepucial island flap technique: Experience with 200 cases.Arch Int Surg 2016;6:121-126
|How to cite this URL:|
Singh AP, Shukla AK, Sharma P, Prasad R. One-Stage repair of hypospadias using the modified prepucial island flap technique: Experience with 200 cases. Arch Int Surg [serial online] 2016 [cited 2021 Feb 25 ];6:121-126
Available from: https://www.archintsurg.org/article.asp?issn=2278-9596;year=2016;volume=6;issue=2;spage=121;epage=126;aulast=Singh;type=0