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Updated: Aug 11, 2026
Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
Correction of hypospadias with a vertical preputial island flap: a 23-year experience
Nicolò Scuderi1, Stefano Chiummariello, Federico De Gado
1Department of Plastic and Reconstructive Surgery, University of Rome La Sapienza, Rome, Italy.
Purpose:
We report our experience using the preputial island flap technique (Scuderi procedure) to correct penile hypospadias.
Materials And Methods:
A total of 152 patients underwent repair between 1982 and 2004. Nine patients (6%) had proximal hypospadias, 46 (30%) had mid penile hypospadias and 97 (64%) had distal hypospadias. A total of 146 patients (96%) had not previously undergone surgical treatment, while 6 (4%) had undergone surgery.
Results:
After the primary repair 3 patients had fistula and 10 had mild stenosis. The immediate success rate was 91.4% (139 of 152 patients), which later increased to 98% (149 of 152) after nonsurgical treatment of the stenoses.
Conclusions:
Preputial island flap urethroplasty is a versatile operation that corrects hypospadias and is particularly indicated if there is associated severe penile curvature, with a low complication rate and superior cosmetic results.
