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SEVERE HYPOSPADIAS REPAIR WITH MEATAL BASED PARACORONAL SKIN FLAP: THE MODIFIED KOYANAGI REPAIR
- Source :
- Journal of Urology. 166:1051-1053
- Publication Year :
- 2001
- Publisher :
- Ovid Technologies (Wolters Kluwer Health), 2001.
-
Abstract
- Various techniques have been reported to repair severe hypospadias. The Koyanagi repair uses a meatal based foreskin flap. We modified this procedure and reviewed the outcome of the repair of severe hypospadias.The modified Koyanagi repair was performed in 151 children 7 months to 15 years old (mean age 3 years) with severe hypospadias. The records of these patients were reviewed. In all cases the meatus was at or proximal to the penoscrotal junction. Followup was 6 months to 16 years (mean 6 years). Flap design is the same as in the Koyanagi repair, although our modified technique requires removal of the subcutaneous tissue of the distal portion of the flap, which acts as a full-thickness free skin graft.A fistula developed in 19 patients (12.6%), meatal stenosis in 3 (2%) required meatoplasty and infection in 2 (1.3%) resulted in a regressed meatal position. Good cosmetic results were achieved in all except the latter 2 cases.Our modified Koyanagi repair affords an excellent cosmetic appearance. The complication rate is relatively low and compares favorably with that of other techniques.
- Subjects :
- Male
medicine.medical_specialty
Urologic Surgical Procedures, Male
Meatus
Adolescent
Urology
Fistula
Severity of Illness Index
Surgical Flaps
Foreskin
Postoperative Complications
medicine
Humans
Child
Hypospadias
business.industry
Infant
medicine.disease
eye diseases
Meatal stenosis
Surgery
medicine.anatomical_structure
Urethra
Child, Preschool
business
Follow-Up Studies
Subcutaneous tissue
Subjects
Details
- ISSN :
- 15273792 and 00225347
- Volume :
- 166
- Database :
- OpenAIRE
- Journal :
- Journal of Urology
- Accession number :
- edsair.doi.dedup.....355de3823adfddb469c531978bab1dd4