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[Use of a urethral plate in surgery for incurving hypospadias]
Roberto Méndez Gallart1, Diego Vela Nieto, Manuel Gómez Tellado
1Servicio de Cirugía Pediátrica, Hospital Materno-Infantil Teresa Herrera, Complexo Hospitalario Universitario Juan Canalejo, A Coruña, España. rmendez@canalejo.org
Objective:
To describe a new procedure for surgical correction of primary hypospadias with chordee.
Methods:
The design of the urethral plate divide it in two flaps. Chordee must be resected in order to straighten the penis. Ventral side of neourethra is made with preputial skin or Mathieu procedure. This method has been used in 10 pediatric patients diagnosed of primary hypospadias with chordee.
Results:
Medium follow-up was 6 months. Only 2 patients developed urethro-cutaneous fistulae and required a new surgical procedure. No reports of meatal stenosis, urethral dilatation or residual curvature were made. 8 patients have excellent cosmetic results and 2 cases were classified as acceptable.
Conclusions:
This procedure is a new surgical method for correction of primary hypospadias with chordee.