Abstract
To accurately measure the correction obtained by the release of the skin and dartos fascia and that obtained by mobilization of the urethral plate and resection of the underlying fibrous tissue (according to Koyanagi and Mollard), in the release of chordee. From February 1996 to February 2011, 234 patients underwent surgery for proximal hypospadias by 1 surgeon. Lateral photographs were taken during successive saline erection tests for 205 patients. The first test was performed at the beginning of the operation, the second test after the release of the skin and dartos fascia, the third test after possible mobilization of the urethral plate and resection of the underlying fibrous tissue, and the last test at the end of surgery. Preservation of the urethral plate was possible in 191 patients (93%). Analysis of the lateral photographs showed that stripping of the penis resulted in complete correction of all chordee <45°. For curvature >90°, stripping of the penis was insufficient in 88% of the cases. However, mobilization of the urethral plate with resection of the underlying fibrous tissue resulted in very low correction (10°-20°), although the blood supply to this plate was preserved. The results of the present study have shown that correction of the curvature that accompanies proximal hypospadias is obtained mainly by release of the skin and dartos fascia.
Published Version
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
