Two-stage complex hypospadias repair when urethral plate has to be divided: Ventral corporoplasty using a tunica vaginalis flap

Two-stage complex hypospadias repair when urethral plate has to be divided: Ventral corporoplasty using a tunica vaginalis flap

Author Macedo, Antonio Autor UNIFESP Google Scholar
Bacelar, Herick Autor UNIFESP Google Scholar
Rondon, Atila Autor UNIFESP Google Scholar
Ottoni, Sergio Autor UNIFESP Google Scholar
Liguori, Riberto Autor UNIFESP Google Scholar
Garrone, Gilmar Autor UNIFESP Google Scholar
Leslie, Bruno Autor UNIFESP Google Scholar
Ortiz, Valdemar Autor UNIFESP Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
Abstract Objective: To demonstrate ventral corporoplasty, with tunica vaginalis flap to reconstruct the corpora cavernosa, in a two-stage strategy for proximal hypospadias surgery.Methods: Assessment of residual curvature after complete urethral plate division and transverse superficial cuts in albuginea. Ventral incision of tunica albuginea to elongate the ventral surface of the penis and use of a tunica vaginalis flap to reconstruct the defect in corpora cavernosa. Dorsal preputial island flap was used to cover the penile ventral surface, to be tubularized in a second stage, together with the original urethral plate.Results: Patient had an uneventful follow-up. Penile aspect was very satisfactory with no residual curvature.Conclusion: Tunica vaginalis is an attractive alternative for ventral corporoplasty in hypospadia repair and has the advantages of prompt disposability, autologous use, and does not represent an extra cost for treatment. (C) 2013 Journal of Pediatric Urology Company. Published by Elsevier B.V. All rights reserved.
Keywords Child
Hypospadias/surgery
Surgical flaps
Penis/surgery
Language English
Date 2013-10-01
Published in Journal of Pediatric Urology. Oxford: Elsevier B.V., v. 9, n. 5, 2 p., 2013.
ISSN 1477-5131 (Sherpa/Romeo, impact factor)
Publisher Elsevier B.V.
Extent 2
Origin http://dx.doi.org/10.1016/j.jpurol.2013.04.021
Access rights Closed access
Type Article
Web of Science ID WOS:000324027200032
URI http://repositorio.unifesp.br/handle/11600/36828

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