Evaluation of Double Face Preputial Flap for Management of Hypospadias in Children

Abstract

Background: hypospadias is a congenital anomaly in which meatal orifice opens in the vental aspect of penis instead of the glans tip. The meatal orifice may be located anywhere between the tip of the penis and the perineum.Objective: the aim of this study was to evaluate double face preputial flap for management of hypospadias in children about success rate, cosmetic result and appearance of complications such as fistula, strictures or disruption. Methodology: this study was conducted on 30 patients who were suffered from mid penile, proximal penile and peno scrotal hypospadias. The age of our cases at the time of repair were ranged between 4-12.5 years. Results: after finishing results of our study we noticed that was no statistically significant difference between results after double face preputial flap technique and ordinary transverse preputial island flap technique (Duckett's procedure) regarding fistula formation or skin infection. Conclusion: although the incidence of fistula formation was lower than that was reported in the classic Duckett repair, however, there was no statistically significant difference between results of double face preputial flap technique and current Duckett's procedure regard skin disruption and fistula formation.