Journal of Pediatric Urology
Volume 5, Issue 2 , Pages 93-99 , April 2009

Dorsal tunica vaginalis graft plus onlay preputial island flap urethroplasty: Experimental study in rabbits

  • Bruno Leslie

      Affiliations

    • Federal University of São Paulo, Rua Napoleao de Barros, 715 2 Andar, São Paulo, SP 04024-002, Brazil
    • ,
  • Luiz L. Barboza

      Affiliations

    • Federal University of São Paulo, Rua Napoleao de Barros, 715 2 Andar, São Paulo, SP 04024-002, Brazil
    • ,
  • Petrus O. Souza

      Affiliations

    • Federal University of São Paulo, Rua Napoleao de Barros, 715 2 Andar, São Paulo, SP 04024-002, Brazil
    • ,
  • Paulo S. Silva

      Affiliations

    • Federal University of São Paulo, Rua Napoleao de Barros, 740 Ed. Cirurgia Experimental, São Paulo, SP 04024-002, Brazil
    • ,
  • Rosana Delcelo

      Affiliations

    • Federal University of São Paulo, Rua Napoleao de Barros, 740 1 Andar, São Paulo, SP 04024-002, Brazil
    • ,
  • Valdemar Ortiz

      Affiliations

    • Federal University of São Paulo, Rua Napoleao de Barros, 715 2 Andar, São Paulo, SP 04024-002, Brazil
    • ,
  • Antonio Macedo Jr.

      Affiliations

    • Federal University of São Paulo, Rua Napoleao de Barros, 715 2 Andar, São Paulo, SP 04024-002, Brazil
    • Corresponding Author InformationCorresponding author. Tel.: +55 11 3287 0639; fax: +55 11 3287 3954.

Received 30 July 2008 ,Accepted 15 September 2008.

References 

  1. Baskin LS, Ebbers MB. Hypospadias: anatomy, etiology, and technique. J Pediatr Surg. 2006;41:463–472
  2. Hollowell JG, Keating MA, Snyder HM, Duckett JW. Preservation of the urethral plate in hypospadias repair: extended applications and further experience with the onlay island flap urethroplasty. J Urol. 1990;143:98–100[discussion 100–1]
  3. Macedo A, Srougi M. Onlay urethroplasty after sectioning of the urethral plate: early clinical experience with a new approach – the ‘three-in-one’ technique. BJU Int. 2004;93:1107–1109
  4. Calado AA, Macedo A, Delcelo R, de Figueiredo LF, Ortiz V, Srougi M. The tunica vaginalis dorsal graft urethroplasty: experimental study in rabbits. J Urol. 2005;174:765–770
  5. Stemberg S. Histology for pathologists. Lippincott-Raven Publishers; 1997;
  6. Hafez AT, Smith CR, McLorie GA, El-Ghoneimi A, Herz DB, Bagli DJ, et al. Tunica vaginalis for correcting penile chordee in a rabbit model: is there a difference in flap versus graft?. J Urol. 2001;166:1429–1432
  7. Amin M, Broghamer WL, Harty JI, Long R. Autogenous tunica vaginalis graft for Peyronie's disease: an experimental study and its clinical application. J Urol. 1980;124:815–817
  8. Ritchey ML, Ribbeck M. Successful use of tunica vaginalis grafts for treatment of severe penile chordee in children. J Urol. 2003;170:1574–1576[discussion 1576]
  9. Ariyoshi A. Experimental studies of urethral reconstruction using tunica vaginalis graft. Jpn J Urol. 1967;58:1574–1576
  10. Theodorescu D, Balcom A, Smith CR, McLorie GA, Churchill BM, Khoury AE. Urethral replacement with vascularized tunica vaginalis: defining the optimal form of use. J Urol. 1998;159:1708–1711
  11. Talja M, Kivisaari L, Lehtonen T. Free tunica vaginalis patch in urethroplasty: an experimental study. Eur Urol. 1987;13:254–263
  12. Joseph DB, Perez LM. Tunica vaginalis onlay urethroplasty as a salvage repair. J Urol. 1999;162:1146–1147
  13. Snow BW, Cartwright PC. Tunica vaginalis urethroplasty. Urology. 1992;40:442–445
  14. Snow BW. Use of tunica vaginalis to prevent fistulas in hypospadias surgery. J Urol. 1986;136:861
  15. Duckett JW. The island flap technique for hypospadias repair. Urol Clin North Am. 1981;8:503–511
  16. Elder JS, Duckett JW, Snyder HM. Onlay island flap in the repair of mid and distal penile hypospadias without chordee. J Urol. 1987;138:376–379
  17. Khoury AE, Olson ME, McLorie GA, Churchill BM. Urethral replacement with tunica vaginalis: a pilot study. J Urol. 1989;142:628–630[discussion 631]
  18. Leger P. Surveillance endoscopique des urétroplasties cutanées. Journées Urologiques de Necker. 1983;12:7–10

PII: S1477-5131(08)00388-4

doi: 10.1016/j.jpurol.2008.09.003

Journal of Pediatric Urology
Volume 5, Issue 2 , Pages 93-99 , April 2009

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