Proximal hypospadias with small flat glans: the lateral-based onlay flap technique
1Hypospadias Clinic, Department of Pediatric Surgery, Emma and Offenbach Hospitals, Offenbach, Germany. prof.hadidi@hypospadiezentrum.de
Journal of Pediatric Surgery
|November 21, 2012
Summary
The lateral-based onlay (LABO) technique effectively treats proximal hypospadias in children with flat glans, achieving a 95% success rate with a low complication rate. This surgical approach is reliable for specific hypospadias cases.
Area of Science:
- Urology
- Pediatric Surgery
- Reconstructive Surgery
Background:
- Proximal hypospadias with a flat or incomplete cleft glans presents unique surgical challenges.
- The lateral-based onlay (LABO) technique offers a potential solution for these specific anatomical variations.
Purpose of the Study:
- To evaluate the efficacy and safety of the lateral-based onlay (LABO) technique for proximal hypospadias.
- To report follow-up outcomes in pediatric patients with flat glans and proximal hypospadias.
Main Methods:
- The LABO technique was performed on 107 patients (age 8 months-2 years) between 2004-2010.
- Ninety-eight patients with proximal hypospadias and flat glans (no deep chordee) were followed for a mean of 32 months.
- A 7-day transurethral silastic catheter was utilized postoperatively.
Main Results:
- The LABO technique yielded satisfactory results in 93 patients (95%).
- Complications included fistula (2), glans dehiscence (2), and meatal skin prolapse (1).
- The overall complication rate was 5%.
Conclusions:
- The LABO technique is a reliable surgical option for proximal hypospadias without deep chordee.
- This method is particularly valuable for patients with small or flat glans.
- Meticulous surgical technique and multi-layer closure contribute to a low complication rate.
