V09-11 WATCH SHAPED BUCCAL MUCOSA GRAFT FOR SIMULTANEOUS CORRECTION OF SEVERE CHORDEE AND URETHROPLASTY AS A ONE STAGE REPAIR OF SCROTAL HYPOSPADIAS

Abstract

You have accessJournal of UrologyPediatrics (V09)1 Apr 2020V09-11 WATCH SHAPED BUCCAL MUCOSA GRAFT FOR SIMULTANEOUS CORRECTION OF SEVERE CHORDEE AND URETHROPLASTY AS A ONE STAGE REPAIR OF SCROTAL HYPOSPADIAS Miroslav Djordjevic*, Abdulmuttalip Simsek, Marta Bizic, Borko Stojanovic, Joshua Roth, and Rajveer Purohit Miroslav Djordjevic*Miroslav Djordjevic* More articles by this author , Abdulmuttalip SimsekAbdulmuttalip Simsek More articles by this author , Marta BizicMarta Bizic More articles by this author , Borko StojanovicBorko Stojanovic More articles by this author , Joshua RothJoshua Roth More articles by this author , and Rajveer PurohitRajveer Purohit More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000000923.011AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Severe hypospadias repair still presents a great challenge. We evaluated a novel approach of using a specially shaped buccal mucosa graft for simultaneous ventral tunica grafting and new urethral plate creation in combination with a longitudinal dorsal island skin flap for a one-stage repair of severe hypospadias. METHODS: A 14-month-old boy underwent scrotal hypospadias repair. The short and non-elastic urethral plate is divided. Buccal mucosa graft is harvested from the inner cheek, and designed in a special “watch” shape, with the spherical part in the middle and two rectangular parts on both sides. The tunica albuginea is opened ventrally for penile straightening and grafted to the spherical part of the "watch-shaped" buccal mucosa with 6-8 “U-shape” stitches. The rectangular parts are fixed to the tip of the glans distally and native urethral meatus proximally. A longitudinal dorsal skin flap is harvested, button-holed ventrally and joined with the buccal graft. Penile skin reconstruction is performed using available penile skin. RESULTS: Good appearance of the penis is achieved without residual chordee, urethral fistula or stricture. CONCLUSIONS: A watch shaped buccal mucosa graft for simultaneous curvature correction and urethroplasty could be a good choice for single stage repair of scrotal hypospadias with severe chordee. Source of Funding: None © 2020 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 203Issue Supplement 4April 2020Page: e836-e836 Advertisement Copyright & Permissions© 2020 by American Urological Association Education and Research, Inc.MetricsAuthor Information Miroslav Djordjevic* More articles by this author Abdulmuttalip Simsek More articles by this author Marta Bizic More articles by this author Borko Stojanovic More articles by this author Joshua Roth More articles by this author Rajveer Purohit More articles by this author Expand All Advertisement PDF downloadLoading ...