Document Detail

Lengthening urethral plate with inner preputial skin grafts: a modification of the onlay technique.
MedLine Citation:
PMID:  15592075     Owner:  NLM     Status:  MEDLINE    
PURPOSE: The onlay technique for primary hypospadias with severe chordee usually requires dorsal plication for residual curvature. To avoid this we use an inner preputial skin graft to reconstruct the urethral plate. MATERIALS AND METHODS: The urethral plate is divided with a transverse incision near the meatus and penile straightening is achieved. After this a fitting inner preputial skin is grafted between the meatus and urethral plate, and the ventral side of the neourethra is formed with an onlay island flap. RESULTS: A total of 21 patients have undergone this procedure. At a mean followup of 10 months a urethrocutaneous fistula developed in 2 patients and glans dehiscence developed in 1. The complication rate was 14.3%. No anastomotic stricture or megaurethra were found. All patients had excellent cosmetic results. CONCLUSIONS: Lengthening the urethral plate with an inner preputial skin graft allows adequate correction of severe chordee. We think that it is a useful procedure in select cases of primary hypospadias with severe inward curvature.
Jiajie Xu; Senkai Li; Yangqun Li; Qiang Li; Liqiang Liu; Yongqian Wang
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The Journal of urology     Volume:  173     ISSN:  0022-5347     ISO Abbreviation:  J. Urol.     Publication Date:  2005 Jan 
Date Detail:
Created Date:  2004-12-13     Completed Date:  2005-01-13     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0376374     Medline TA:  J Urol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  202-3     Citation Subset:  AIM; IM    
Plastic Surgery Hospital, Peking Union Medical College, Beijing 100-041, People's Republic of China.
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MeSH Terms
Child, Preschool
Hypospadias / surgery
Reconstructive Surgical Procedures
Skin Transplantation*
Urethra / surgery*
Urologic Surgical Procedures, Male / methods*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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