[Urethroplasty with lateral pedunculated flap for complicated hypospadias]
I Tuduri Limousin1, D A Aspiazu Salinas, V Jiménez Crespo
1Servicio de Cirugía Pediátrica, Hospital Infantil Virgen del Rocío, Sevilla. tuduri@yahoo.com
Unlabelled:
With the modern techniques, we can resolve almost the totallity of hypospadias. But there are patients with recurrent fistulas associated to uretral stenosis that can finish all the surgical possibilities.
Material And Methods:
Retrospective review. Lateral based flap uretroplasty consists in the exposition of the uretra, to reconstruct in one-stage the original neourethra with the lateral skin of the penis.
Results:
From 2008, we have correct 5 patients with a mean age of 12,1 years (9-15) and a weight of 55,34 kg (22-98 kg). All of them were previously corrected 3 to 7 times, with recurrent fistulas. At the office, stenosis urethral was verified. Surgical correction was made in 90-110 minutes and results were positive in all patients, correcting the stenosis after a follow-up of more than a year. Only the oldest two patients had present minimally glans fistula.
Conclusions:
Lateral based flap urethroplasty is a useful technique for the correction of the complicated fistulas, allowing the correction of the fistulas and the stenosis of the urethra.
