Vascularized dorsal dartos flap to prevent fistula in tubularized incised plate urethroplasty for primary distal and mid shaft hypospadias
The aim of the present study was to evaluate the importance of neourethral covering using vascularized dorsal flap for preventing fistula in Tabularized incised plate (TIP) urethroplasty. The study included 52 children (aged 2-10 years) who had hypospadias repaired including 44 with distal and 8 ...
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2016-08-01
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doaj-3e9bc1ad7c9c4cf3b522ba524e605f882020-11-25T01:00:11ZengBangabandhu Sheikh Mujib Medical UniversityBangabandhu Sheikh Mujib Medical University Journal2074-29082224-77502016-08-019210.3329/bsmmuj.v9i2.2904718847Vascularized dorsal dartos flap to prevent fistula in tubularized incised plate urethroplasty for primary distal and mid shaft hypospadiasA. K. M. Zahid Hossain0Gazi Zahirul Hasan1Susankar Kumar Mondal2A. M. Shahinoor3Md. Nooruzzaman4Dinesh Prasad Koirala5Department of Pediatric Surgery, Bangabandhu Sheikh Mujib Medical University, Kazi Nazrul Islam Avenue, Shahbag, DhakaDepartment of Pediatric Surgery, Bangabandhu Sheikh Mujib Medical University, Kazi Nazrul Islam Avenue, Shahbag, DhakaDepartment of Pediatric Surgery, Bangabandhu Sheikh Mujib Medical University, Kazi Nazrul Islam Avenue, Shahbag, DhakaDepartment of Pediatric Surgery, Bangabandhu Sheikh Mujib Medical University, Kazi Nazrul Islam Avenue, Shahbag, DhakaDepartment of Pediatric Surgery, Bangabandhu Sheikh Mujib Medical University, Kazi Nazrul Islam Avenue, Shahbag, DhakaDepartment of Pediatric Surgery, Bangabandhu Sheikh Mujib Medical University, Kazi Nazrul Islam Avenue, Shahbag, Dhaka The aim of the present study was to evaluate the importance of neourethral covering using vascularized dorsal flap for preventing fistula in Tabularized incised plate (TIP) urethroplasty. The study included 52 children (aged 2-10 years) who had hypospadias repaired including 44 with distal and 8 with mid shaft hypospadias. In all children, a standard tabularized incised plate urethroplasty was followed by reconstruction of new surrounding urethral tissue. A longitudinal dartos flap was harvested from excessive dorsal preputial and penile hypospadiac skin and transposed to ventral side by a buttonhole maneuver. It was sutured to the glans wings and the neomeatus and to the corpora covernosa over the neo-urethra. Thus the new urethra was completely covered with well-vascularzed subcutaneous tissue. At a mean follow-up of 18 months, the result was successful with no fistula or urethral stenosis, except 2 of the mid penile hypospadias. All patients had good functional and cosmetic results with straight penis and vertical slit shaped meatus at the tip of the penis. The 2 patients developed tiny fistula, which were closed spontaneously after meatal dilatation. In conclusion, urethral covering should be part of TIP urethroplasty. A dorsal well-vascularized dartos flap, button holed ventrally is a good choice for preventing fistula for distal and mid shaft hypospadias. https://www.banglajol.info/index.php/BSMMUJ/article/view/29047Dorsal dartosFistulaHypospadiasTabularized incised plate urethroplastyVascular |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
A. K. M. Zahid Hossain Gazi Zahirul Hasan Susankar Kumar Mondal A. M. Shahinoor Md. Nooruzzaman Dinesh Prasad Koirala |
spellingShingle |
A. K. M. Zahid Hossain Gazi Zahirul Hasan Susankar Kumar Mondal A. M. Shahinoor Md. Nooruzzaman Dinesh Prasad Koirala Vascularized dorsal dartos flap to prevent fistula in tubularized incised plate urethroplasty for primary distal and mid shaft hypospadias Bangabandhu Sheikh Mujib Medical University Journal Dorsal dartos Fistula Hypospadias Tabularized incised plate urethroplasty Vascular |
author_facet |
A. K. M. Zahid Hossain Gazi Zahirul Hasan Susankar Kumar Mondal A. M. Shahinoor Md. Nooruzzaman Dinesh Prasad Koirala |
author_sort |
A. K. M. Zahid Hossain |
title |
Vascularized dorsal dartos flap to prevent fistula in tubularized incised plate urethroplasty for primary distal and mid shaft hypospadias |
title_short |
Vascularized dorsal dartos flap to prevent fistula in tubularized incised plate urethroplasty for primary distal and mid shaft hypospadias |
title_full |
Vascularized dorsal dartos flap to prevent fistula in tubularized incised plate urethroplasty for primary distal and mid shaft hypospadias |
title_fullStr |
Vascularized dorsal dartos flap to prevent fistula in tubularized incised plate urethroplasty for primary distal and mid shaft hypospadias |
title_full_unstemmed |
Vascularized dorsal dartos flap to prevent fistula in tubularized incised plate urethroplasty for primary distal and mid shaft hypospadias |
title_sort |
vascularized dorsal dartos flap to prevent fistula in tubularized incised plate urethroplasty for primary distal and mid shaft hypospadias |
publisher |
Bangabandhu Sheikh Mujib Medical University |
series |
Bangabandhu Sheikh Mujib Medical University Journal |
issn |
2074-2908 2224-7750 |
publishDate |
2016-08-01 |
description |
The aim of the present study was to evaluate the importance of neourethral covering using vascularized dorsal flap for preventing fistula in Tabularized incised plate (TIP) urethroplasty. The study included 52 children (aged 2-10 years) who had hypospadias repaired including 44 with distal and 8 with mid shaft hypospadias. In all children, a standard tabularized incised plate urethroplasty was followed by reconstruction of new surrounding urethral tissue. A longitudinal dartos flap was harvested from excessive dorsal preputial and penile hypospadiac skin and transposed to ventral side by a buttonhole maneuver. It was sutured to the glans wings and the neomeatus and to the corpora covernosa over the neo-urethra. Thus the new urethra was completely covered with well-vascularzed subcutaneous tissue. At a mean follow-up of 18 months, the result was successful with no fistula or urethral stenosis, except 2 of the mid penile hypospadias. All patients had good functional and cosmetic results with straight penis and vertical slit shaped meatus at the tip of the penis. The 2 patients developed tiny fistula, which were closed spontaneously after meatal dilatation. In conclusion, urethral covering should be part of TIP urethroplasty. A dorsal well-vascularized dartos flap, button holed ventrally is a good choice for preventing fistula for distal and mid shaft hypospadias.
|
topic |
Dorsal dartos Fistula Hypospadias Tabularized incised plate urethroplasty Vascular |
url |
https://www.banglajol.info/index.php/BSMMUJ/article/view/29047 |
work_keys_str_mv |
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