Kutlay technique for hypospadias repair
Ilhan Gecit1, Daghan Isik, Necip Pirincci
1Department of Urology, School of Medicine, Yuzuncu Yil University, Van, Turkey.
International Urology and Nephrology
|May 4, 2012
Summary
The Kutlay technique offers a promising new approach for hypospadias repair, demonstrating a low fistula rate and good functional outcomes in pediatric patients. This method reconstructs the neourethra using skin flaps, providing effective treatment for chordee.
Area of Science:
- Urology
- Pediatric Surgery
- Reconstructive Surgery
Background:
- Hypospadias repair techniques are evolving, with a need for versatile surgical options.
- The Kutlay technique is a novel method utilizing two horizontal meatal-based skin flaps for neourethral reconstruction.
Purpose of the Study:
- To present the surgical outcomes of 31 pediatric patients who underwent hypospadias repair using the Kutlay technique.
- To evaluate the efficacy and safety of the Kutlay technique in patients with and without chordee.
Main Methods:
- The Kutlay technique was performed on 31 male patients with hypospadias (average age 5.6 years) without prior repair.
- Ten patients had associated chordee; three were circumcised prior to the procedure.
Main Results:
- Follow-up ranged from 4 to 13 months (average 9.3 months).
- A single patient (3.2%) developed a fistula; no other major complications like dehiscence, stenosis, or infection were observed.
- Uroflowmetry showed a mean maximum flow rate of 10.5 ml/s, with patients voiding in a straight, forward stream.
Conclusions:
- The Kutlay technique is easily applicable, even in cases with chordee.
- It yields a low risk of fistulas and provides acceptable functional and cosmetic results.
- Key factors for success include non-superimposed suture lines, well-vascularized flaps, and proper neourethral placement within a glans tunnel.
