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Classic reprint| Volume 46, ISSUE 2, P164-167, January 1993

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T flap hypospadias repair in circumcised patients

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      Abstract

      Single stage repair of distal penile hypospadias with chordee in circumcised patients is described. A ventral ‘T’ flap is used, the horizontal part of the T flap forming the complete circumference of the new urethra and lying in the defect created due to chordee release. The vertical part of the T flap, in conjunction with the grooved glans, forms the neourethra like the flip flap procedure.
      Of 22 patients repaired in this way, 2 (9.0%) developed fistula and one (4.5%) had meatal stenosis, thus in 86.5% successful repair was achieved.

      Reference

        • Asopa H.S.
        • Elhence E.P.
        • Atria S.P.
        • Bansal N.K.
        One stage correction of penile hypospadias using a foreskin tube.
        Internal Surgery. 1971; 55: 435
        • Baran N.K.
        Urethral advancement for distal hypospadias repair in circumcised patients.
        Plastic and Reconstructive Surgery. 1982; 70: 48
        • Duckett Jr., J.W.
        Transverse preputial island flap technique for repair of severe hypospadias.
        Urologic Clinics of North America. 1980; 7: 423
        • El-Kasaby A.W.
        • El-Beialy H.
        • El-Halaby R.
        • Nowier A.
        • Maged A.
        Urethroplasty using transverse penile island flap for hypospadias.
        Journal of Urology. 1986; 136: 643
        • Hodgson N.B.
        A one stage hypospadias repair.
        Journal of Urology. 1970; 104: 281
        • Horton C.E.
        • Devine Jr., C.J.
        Hypospadias.
        in: Converse J.M. Reconstructive Plastic Surgery. 2nd Edition. W. B. Saunders Company, Philadelphia1977: 3845
        • Horton C.E.
        • Devine Jr., C.J.
        Hypospadias.
        in: Mustarde´ J.C. Plastic Surgery in Infancy and Childhood. 2nd Edition. Churchill Livingstone, Edinburgh1979: 436
        • Horton C.E.
        • Sadove R.C.
        • Devine Jr., C.J.
        Reconstruction of male genital defects: congenital.
        in: Plastic Surgery. Vol. 6. W. B. Saunders Company, Philadelphia1991: 4153
        • King L.
        Anomalies of the male genitalia.
        in: Georgiade N.G. Georgiade S.G. Riefkohl R. Barwick W.J. Essentials of Plastic, Maxillofacial and Reconstructive Surgery. Williams and Wilkins, Baltimore1987: 754
        • Mathieu P.
        Traitement en un temps de l'hypospadias balanique et juxtabalanique.
        Journal de Chirurgie. 1932; 39: 481
        • Mustarde´ J.C.
        One stage correction of distal hypospadias and other people's fistulae.
        British Journal of Plastic Surgery. 1965; 18: 413
        • Ntia I.D.
        • Osegbe D.N.
        • Amuka E.D.
        One stage penile cutaneous island flap repair for hypospadias in circumcized patients.
        European Urology. 1988; 14: 450
        • Shapiro S.R.
        Free graft patch 1-stage procedure to repair penile hypospadias unsuitable for flip flap procedure: indications and experience.
        Journal of Urology. 1986; 136: 433
        • Vyas P.R.
        • Roth D.R.
        • Perlmutter A.D.
        Experience with free grafts urethral reconstruction.
        Journal of Urology. 1987; 137: 471