Skip to main content
Log in

Tubularized incised plate urethroplasty for distal hypospadia, using overlapping dorsal subcutaneous flaps

  • Published:
International Urology and Nephrology Aims and scope Submit manuscript

Abstract

This paper presents a newly developed simple procedure using overlapping vascularized dorsal dartos subcutaneous flaps to cover the neourethra after hypospadias correction. A 3-year old boy with distal hypospadias underwent the tubularized incised plate urethroplasty using this method. Postoperative complications, which include urethrocutaneous fistula, were not observed, but the glans did exhibit a vertical, slit-like meatus. Covering the neourethra with overlapping dorsal dartos flaps is expected to prevent the development of urethrocutaneous fistula in patients with distal hypospadias.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Zaontz MR. The GAP (glans approximation procedure) for glanular/coronal hypospadias. J Urol 1989; 141: 359.

    Google Scholar 

  2. Duckett JW, Keating MA. Technical challenge of the megameatus intact prepuce hypospadias variant: the pyramid procedure. J Urol 1989; 141: 1407.

    Google Scholar 

  3. Mathieu P. Traitement en un temps de l'hypospade balnique et juxta-balanique. J Chir 1932; 39: 481.

    Google Scholar 

  4. Elder JS, Duckett JW, Snyder H Mc C III. Onlay island flap in the repair of mid and distal penile hypospadias without chordee. J Urol 1987; 138: 376.

    Google Scholar 

  5. Snodgrass W. Tubularized, incised plate urethroplasty for distal hypospadias. J Urol 1994; 151: 464.

    Google Scholar 

  6. Oswald J, Korner I, Riccabona M. Comparison of the perimeatal-based flap (Mathieu) and the tubularized incised-plate urethroplasty (Snodgrass) in primary distal hypospadias. BJU International 2000; 85: 725.

    Google Scholar 

  7. Belman AB. Urethra. In: Kelalis PP, King LR, Belman AB, eds. Clinical Pediatric Urology, 2nd edn. Philadelphia: WB Saunders Co, 1985: Chapter 18, 781.

    Google Scholar 

  8. Uygur MC, Erol D, Germiyanoglu C. Lessons from 197 Mathieu hypospadias repairs performed at a single institution. Pediatr Surg Int 1998; 14: 192.

    Google Scholar 

  9. Byars LT. Functional restoration of hypospadias deformities. Surg Gynecol Obstet 1951; 92: 149.

    Google Scholar 

  10. Snow BW. Use of tunica vaginalis to prevent fistulas in hypospadias repair. J Urol 1986; 136: 861.

    Google Scholar 

  11. Geltzeiler J, Belman AB. Results of closure of urethrocutaneous fistulas in children. J Urol 1984; 132: 734.

    Google Scholar 

  12. Walker RD. Outpatient repair of urethral fistulae. Urol Clin N Amer 1981; 8: 582.

    Google Scholar 

  13. Belman AB. De-epithelialized skin flap coverage in hypospadias repair. J Urol 1988; 140: 1273.

    Google Scholar 

  14. Retik AB, Mandell J, Bauer SB, Atala A. Meatal based hypospadias repair with the use of a dorsal subcutaneous flap to prevent urethrocutaneous fistula. 1994; 152: 1229.

    Google Scholar 

  15. Smith D. A de-epithelialized overlap, flap technique in the repair of hypospadias. Brit J Plast Surg 1973; 26: 106.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Fuse, H., Akashi, T., Yasuda, K. et al. Tubularized incised plate urethroplasty for distal hypospadia, using overlapping dorsal subcutaneous flaps. Int Urol Nephrol 34, 535–537 (2002). https://doi.org/10.1023/A:1025610800998

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1023/A:1025610800998

Keywords

Navigation