Meatal based hypospadias repair with the use of a dorsal subcutaneous flap to prevent urethrocutaneous fistula

A. B. Retik, J. Mandell, S. B. Bauer, A. Atala

Research output: Contribution to journalArticle

83 Scopus citations

Abstract

A technique using a dorsal dartos subcutaneous flap to wrap the neourethra after hypospadias repair is described. This method was used in a series of 204 meatal based repairs. Catheter drainage or diversion was not performed in any nontoilet trained child. The procedure was done on an ambulatory or 1- night hospitalization basis. No patient had a urethrocutaneous fistula. The additional covering of the neourethra with the dorsal subcutaneous flap appears to be excellent for avoiding the development of urethrocutaneous fistulas in patients with distal hypospadias.

Original languageEnglish (US)
Pages (from-to)1229-1231
Number of pages3
JournalJournal of Urology
Volume152
Issue number4
DOIs
StatePublished - Jan 1 1994

Keywords

  • fistula
  • hypospadias
  • penis
  • surgical flaps
  • urethra

ASJC Scopus subject areas

  • Urology

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