Summary
Purpose
To present one way of performing onlay preputial flap for hypospadias.
Patients and methods
This procedure was performed following the methodology used in one hypospadias expert
center to correct hypospadias in boys who are not elective for Koff procedure and
in whom Koyanagi procedure is not needed. Operative details were described, and post-operative
management were given as example.
Results
Long-term results of this technique showed a 10% complication rate (dehiscence, strictures
or urethral fistulas) 2 years after surgery.
Conclusions
This video is a step by step description of the onlay preputial flap technique giving
the general methodology and also the details resulting from years of practice in one
hypospadias expert center.
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References
- The island tube and island onlay hypospadias repairs offer excellent long-term outcomes: a 14-year followup.J Urol. 2004; 172: 1717-1719
- Preoperative topical estrogen treatment vs placebo in 244 children with midshaft and posterior hypospadias.J Clin Endocrinol Metab. 2020; 105: 231
- Outcome of severe hypospadias repair using three different techniques.J Pediatr Urol. 2009; 5: 205-211
- The island flap technique for hypospadias repair.Urol Clin. 1981; 8: 503-511
- Does intraoperative penile tourniquet application during hypospadias repair affect the patients and surgeons reported outcomes? A randomized controlled trial.J Pediatr Urol. 2020; 16: 683
Article info
Publication history
Published online: February 21, 2023
Accepted:
February 19,
2023
Received in revised form:
January 9,
2023
Received:
March 7,
2022
Publication stage
In Press Journal Pre-ProofIdentification
Copyright
© 2023 Journal of Pediatric Urology Company. Published by Elsevier Ltd. All rights reserved.
