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Safwat A, Al-Adl AM, El-Karamany T. Vascularized Dartos Flap in Conjunction with Tubularized Incised Plate Urethroplasty: Single versus Double Flaps for Management of Distal Hypospadias. Curr Urol. 2012;6(2):67-70doi: 10.1159/000343511.
Safwat, A., Al-Adl, A. M., & El-Karamany, T. (2012). Vascularized Dartos Flap in Conjunction with Tubularized Incised Plate Urethroplasty: Single versus Double Flaps for Management of Distal Hypospadias. Current urology, 6(2), 67-70. https://doi.org/10.1159/000343511
Safwat, Ayman, et al. "Vascularized Dartos Flap in Conjunction with Tubularized Incised Plate Urethroplasty: Single versus Double Flaps for Management of Distal Hypospadias." Current urology vol. 6,2 (2012): 67-70. doi: https://doi.org/10.1159/000343511
Safwat A, Al-Adl AM, El-Karamany T. Vascularized Dartos Flap in Conjunction with Tubularized Incised Plate Urethroplasty: Single versus Double Flaps for Management of Distal Hypospadias. Curr Urol. 2012 Sep;6(2):67-70. doi: 10.1159/000343511. Epub 2012 Sep 27. PMID: 24917716; PMCID: PMC3783336.
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Curr Urol. 2012 Sep;6(2):67-70. doi: 10.1159/000343511. Epub 2012 Sep 27.

Vascularized Dartos Flap in Conjunction with Tubularized Incised Plate Urethroplasty: Single versus Double Flaps for Management of Distal Hypospadias.

Current urology

Ayman Safwat, Ahmed M Al-Adl, Tarek El-Karamany

Affiliations

  1. Urology Department, Benha Faculty of Medicine, Benha, Egypt.
  2. Urology Department, Benha Faculty of Medicine, Benha, Egypt ; Urology Department, Al-Adwani General Hospital, Taif, Saudi Arabia.

PMID: 24917716 PMCID: PMC3783336 DOI: 10.1159/000343511

Abstract

OBJECTIVE: To compare the results of Snodgrass repair with single versus double vascularized dartos pedicle flap for neouretheral coverage.

PATIENTS AND METHODS: Fifty-eight pediatric patients with mean age 41.5 ± 21 months (range 9-96 months) underwent primary hypospadias repair, 39 uncircumcised and 19 circumcised, classified into 2 groups according to coverage of the neourethra. Single layer coverage (Group I) was performed in 28 (48.3%) while double layers coverage (Group II) was done in 30 (51.7%) cases.

RESULTS: After mean follow-up 8.6 ± 5.4 months (range 3-24 months), good cosmetic results with vertical slit like meatus at the tip of conical shaped glans were obtained in 53 cases (91.4%). Totally 5 cases occurred postoperative complications, of which 4 cases in Group I [2 (7.1%) with urethrocutaneous fistula, 1 (3.6%) with meatal stenosis and 1 (3.6%) with skin necrosis], 1 case in Group II [glanular dehiscence (3.3%)]. No fistula was observed in Group II.

CONCLUSION: The Snodgrass tubularized incised-plate repair in conjunction with double layer coverage of the neourethra could be considered the procedure of choice for distal hypospadias with low complications rate especially urethrocutaneous fistula.

Keywords: Dartos flap; Fistula; Hypospadias; Tubularized incised-plate; Urethroplasty

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