Experience of Hypospadias Stage I Repair Using Tranverse Cutting Islandform Prepuce Skin Flap

Abstract

Objective To summarize the experience of tranverse cutting the is landform prepuce skin flap technique applied to the hypospadias. Methods 22 children with hypospadias treated using urethroplasty with cross cutting is landform prepuce skin flap technique were reviewed. 1 case of them except that the opera-tion was carried out, they have a duplay throplasty by using scrotum rectangular skin flap with urethra orifice base. operation. Results All the cases were follwed up for 3 months to 4 years, the appearance of peris of the children was normal, chordee of scrotum was satisfactory corrected, emiction unobstructed, once the operation success rate reached 81.8% (19cases) ,but 3 cases occurred urethral fistula complication, and 2 cases of them were well recovery after the second the operation, their urethral stricture improvement by normosthenuria. Con-clusion The operation procedure is conform to anatomy-physiological feature, projection reasonableness, tranve-rse anastomotic continuious suture can obviously decrease urethral fistula morbidity. Specially hypospadias with chordee of scrotum, using cross cutting lslandform prepuce srin flap technique and quick pulse rectangular skin flap grafting on urethra orifice base is a better choice for the disease. Key words: Hypospadias; Urethroplast