Meatal Based Hypospadias Repair with the Use of a Dorsal Subcutaneous Flap to Prevent Urethrocutaneous Fistula
- 1 October 1994
- journal article
- Published by Wolters Kluwer Health in Journal of Urology
- Vol. 152 (4) , 1229-1231
- https://doi.org/10.1016/s0022-5347(17)32555-7
Abstract
A technique using a dorsal dartos subcutaneous flap to wrap the neourethra after hypospadias repair is described. This method was used in a series of 204 meatal based repairs. Catheter drainage or diversion was not performed in any nontoilet trained child. The procedure was done on an ambulatory or 1-night hospitalization basis. No patient had a urethrocutaneous fistula. The additional covering of the neourethra with the dorsal subcutaneous flap appears to be excellent for avoiding the development of urethrocutaneous fistulas in patients with distal hypospadias.Keywords
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