ISSN: 1300-0292
İndekslendiği Dizinler: SCIENCE CITATION INDEX EXPANDED
CINAHL, Index Copernicus,
Chemical Abstracts (CA),
Excerpta Medica / EMBASE
Dil: Türkçe, İngilizce
İçerik: Orijinal Araştırma, Derleme, Editöre Mektup, Olgu Sunumu, Tıp Eğitimi, Tıbbi Kitap İncelemeleri
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ORIGINAL RESEARCH ARTICLES |
One-stage Repair Using Five Flap Technique Of Proximal Hypospadias With
Adnan ABASIYANIK, MD,a Müslim YURTÇU, MD, a
aDepartment of Pediatric Surgery, Selçuk University Meram School of Medicine, KONYA
Objective: Patients with proximal hypospadias and penoscrotal transposition are frequently treated by a two-stage operation. We applied a one-stage repair modifying the Barcat technique in these patients. The aim of this study was to determine effectiveness of this technique by evaluating the results.
Material and Methods: This procedure was applied in 14 patients with proximal hypospadias and penoscrotal transposition. The penile and scrotal flaps were formed by two U-shaped incisions extending toward the dorsal face of the glans and the perineal area, respectively. The flaps were mobilized. They were then sutured in on-lay fashion, and a neo-urethra was constituted. The corpora cavernosa were dissected. The third U-flap formed by another U-shaped incision passing on either side of the urethral meatus was used to release the upper scrotal folds, and the penis was transposed anteriorly. The two curved transverse incisions were made laterally to the third U-flap. Thus, the lateral scrotal flaps were created. They were consequently sutured beneath the penis.
Results: Complications not requiring re-operation included meatal stenosis in one patient and postoperative bleeding in another. Three patients had fistulae that were subsequently repaired. The overall success rate of the initial operation was 78.6 %.
Conclusions: The advantage of this procedure is its applicability in patients who have penoscrotal transposition. This technique may be considered for repair of proximal hypospadias with penoscrotal transposition, because it provides a long and wide urethral tube and a successful penoscrotal transposition correction.Keywords: Hypospadias, penoscrotal transpositionT Klin J Med Sci 2004, 24:132-136
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