Rapid intraoperative tissue expansion with Foley catheter in a challenging cripple Hypospadias

Abstract

Failed hypospadiass cases may result in hypovascular, scarred penis with residual penile chordee and leave the patient with minimal residual skin for penile resurfacing and urethroplasty. Local tissue expansion has become a good alternative to provide skin for penis by using expanders however they require long periods of time for expansion. Besides, rapid tissue expansion was also described in different tissues. We used rapid intraoperative expansion technique by using a Foley catheter in a failed hypospadias case who had minimal residual skin secondary to infection and we concluded that rapid intraoperative tissue expansion with Foley catheter is an effective, feasible reconstructive method for easy dissection and penile resurfacing in failed hypospadiass cases.

Rapid Intraoperative Tissue Expansion with Latex Glove after Large Nevus Excision for a Pediatric Patient: A Case Report

“…The ground substance is also displaced from the collagen network [2]. RITE has been performed for variable amounts of skin ranging from 15% to 31%, as reported in the literature, and the success of the procedure seems to depend on the location and state of the host tissue and the degree of expansion [2,11]. In our case, two cyclic omnidirectional forces successfully expanded the overlying soft tissue, and the defect was closed without tension.…”

“…The tissue inflation only required 25 minutes, and it was much more efficient compared to the classical tissue expansion procedure and the staged excision procedure, both of which inevitably would require secondary operations. The outpatient follow-up required after RITE inflation can be on a much less frequent basis compared to the follow-up required after a gradual expansion procedure [11].…”

“…Many authors used foley catheter or silicone expander for intraopeartive tissue expansion which is soft but harder than latex [1,10,11]. Soft material results in multidirectional expansion while rigid type expands unidirectionally [7].…”

Large Scalp Defect Reconstruction With Tissue Expansion, Orticochea Flap, and Acellular Dermal Matrix for Soft Tissue Augmentation: A Case Report

“…In this case, the gradual expansion of the scalp tissue preceded the wide excision of cancerous lesions. Other authors have achieved rapid intraoperative tissue expansion using a Foley catheter, a readily available and economical means of tissue expansion that reduces the risk of infection and eliminates the need for multiple visits for chronic expansion [3]. However, this case included a significantly large surface defect that limits…”