Document Detail

Dorsal double-layer dartos flap for preventing fistulae formation in the Snodgrass technique.
MedLine Citation:
PMID:  17406134     Owner:  NLM     Status:  MEDLINE    
INTRODUCTION: The Snodgrass technique and its modifications have become a preferred method for all varieties of hypospadias in the past decade. However, fistula is the most common complication of this technique. The aim of this study was to investigate the importance of the single and double flap to prevent fistula formation in the Snodgrass procedure. MATERIALS AND METHODS: Tubularized incised plate urethroplasty, using a single or the double flap, was undertaken in 74 consecutive boys (median age 6.6 years old, range 1-15) within the last 4 years. In the first 29 patients (group 1), a dorsolateral flap was rotated laterally for covering the neourethra and in the remaining 45 patients (group 2) the neourethra was covered with dorsal double dartos flaps. RESULT: In group 1, fistula in 4 patients and partial glanular dehiscence in 1 patient were detected. There was no fistula formation in group 2. CONCLUSION: For preventing fistula formation, urethral covering by a well-vascularized dorsal double-layer dartos flap should be the basic part of the Snodgrass procedure.
Vedat Bakan; Abdullah Yildiz
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Urologia internationalis     Volume:  78     ISSN:  0042-1138     ISO Abbreviation:  Urol. Int.     Publication Date:  2007  
Date Detail:
Created Date:  2007-04-04     Completed Date:  2007-12-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0417373     Medline TA:  Urol Int     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  241-4     Citation Subset:  IM    
Copyright Information:
Copyright 2007 S. Karger AG, Basel.
Department of Pediatric Surgery, Numune Training and Research Hospital, Erzurum, Turkey.
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MeSH Terms
Child, Preschool
Hypospadias / surgery*
Surgical Flaps*
Urethral Diseases / etiology*,  prevention & control*
Urinary Fistula / etiology*,  prevention & control*
Urologic Surgical Procedures, Male / adverse effects*

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