Use of distal Thiersch-Duplay urethroplasty for proximal hypospadias repairs in conjunction with short island pedicle flap.

Experience with 8 boys having proximal hypospadias with severe chordee and a foreshortened dorsal hooded foreskin is presented. Use of a distal Thiersch-Duplay tube was incorporated in addition to an island pedicle flap to achieve the correct meatal location on the glans. One boy with perineal hypos...

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Bibliographic Details
Main Authors: Zaontz, M R, Kaplan, W E, Ritchie, E L
Format: Text
Language:unknown
Published: LVHN Scholarly Works 1990
Subjects:
Anastomosis
Surgical
Child
Preschool
Follow-Up Studies
Humans
Hypospadias
Infant
Male
Surgical Flaps
Urethra
Department of Surgery
Medicine and Health Sciences
Short Island
Online Access:https://scholarlyworks.lvhn.org/surgery/5454
https://pubmed.ncbi.nlm.nih.gov/2238300/
Description
Summary:Experience with 8 boys having proximal hypospadias with severe chordee and a foreshortened dorsal hooded foreskin is presented. Use of a distal Thiersch-Duplay tube was incorporated in addition to an island pedicle flap to achieve the correct meatal location on the glans. One boy with perineal hypospadias required both proximal and distal Thiersch tube with an island flap interposition. Follow-up of nine months to 3.5 years demonstrated excellent cosmetic and functional results with no recurrent chordee or urethral stenosis. The only fistula noted developed at the proximal Thiersch tube-island flap anastomosis in the boy with perineal hypospadias. Advantages of the aforementioned procedure include decreasing the risk of chordee on the basis of a foreshortened island pedicle flap, use of vascularized flaps, and completing the procedure in one stage with a satisfactory result.

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