Experience with One-Stage
Repair of Severe Proximal
Hypospadias: Operative
Technique and Results

Koyanagi, Tomohiko; Nonomura, K; Κakizaki, Hidehiro; Takeuchi, Ikuto; Yamashita, Tetsufumi

doi:10.1159/000474274

Cited by 30 publications

(1 citation statement)

References 10 publications

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“…The correction of the curvature should be a priority and do not hesitate to transect the urethral plate, if the release of the curvature requires it and we do not practice the dorsal plication anymore. When the urethral plate was resected, the urethroplasty was created using tubularized island flap [10] or by Koyanagi-Hayashi's procedure [11,12] or in two stages. However, when the preservation of urethral plate is possible; this plate can be used as a solid template for urethroplasty by onlay island flap.…”

Section: Discussionmentioning

confidence: 99%

What is the pathogenesis of proximal hypospadias?

Acimi

2018

Turkish Journal of Urology

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Section: Discussionmentioning

confidence: 99%

What is the pathogenesis of proximal hypospadias?

Acimi

2018

Turkish Journal of Urology

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Neomodified Koyanagi technique for severe hypospadias with one‐stage sealed Y‐shaped penis foreskin vascular protection surgery

Chen

Liu

et al. 2022

Clinical Case Reports

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Proximal hypospadias defects represent the most challenging aspect of maintaining blood supply to the flap, which eventually leads to a high rate of complications. We modified a sealed Y-shaped penis foreskin vascular protection technique, which can repair the urethra in a single stage. The inner plate of the foreskin was cut along the coronal sulcus, and both sides of the urethral plate were cut as deep as Buck's fascia. The "Y"-shaped foreskin flaps on both sides of the mouth that are continuous with the urethral plate were sutured to form a new urethral skin tube. The urethral skin tube was turned to the ventral side, and the foreskin was reshaped and sutured. A total of 89 children had their urinary catheters removed 4 weeks after the operation. All children were evaluated at least once a year for 3 consecutive years. There were 11 patients with urine leakage that occurred after the operation. These children, diagnosed with urine leakage, underwent successful repair after the leakage occurred. There were no urethral strictures after the operation. The one-time success rate of this operation was 87.6% (78/89), and the incidence of urethral fistula was 12.6% (11/89). The results showed that sealed Y-shaped penis foreskin vascular protection surgery was safer and had a higher operation rate than the traditional hypospadias repair technique. Modifying Koyanagi repair by our improved Koyanagi hypospadias repair is an excellent technique with relatively low complication rates.

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Koyanagi Technique and Its Modifications in the Management of Proximal Hypospadias

Elsaied

2022

Hypospadias Surgery

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Experience with One-Stage Repair of Severe Proximal Hypospadias: Operative Technique and Results

Cited by 30 publications

References 10 publications

What is the pathogenesis of proximal hypospadias?

What is the pathogenesis of proximal hypospadias?

Neomodified Koyanagi technique for severe hypospadias with one‐stage sealed Y‐shaped penis foreskin vascular protection surgery

Koyanagi Technique and Its Modifications in the Management of Proximal Hypospadias

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