Modification of flip-flap technique forcorrection of distal penile hypospadias

Ezzat, Mahmoud; Nowier, Amr

doi:10.1016/0090-4295(91)80178-a

Cited by 2 publications

(3 citation statements)

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“…[20][21][22][23] Several reports, however, have described meatal-based flap urethroplasty without a stent. 19,24,25 Rabinowitz repaired distal penile hypospadias in 59 boys with a meatal-based flap urethroplasty.…”

Section: Discussionmentioning

confidence: 99%

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Primary and salvage urethroplasty using Mathieu meatal‐based flip‐flap technique for distal hypospadias

et al. 2001

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Background: Numerous surgical procedures have been attempted for correction of distal hypospadias. The Mathieu procedure was employed in this study for secondary cases as well as primary cases. Methods:The length of the skin flap is determined by measuring the distance from the meatus to the glans tip and then the ventral meatal-based skin flap is incised. The proximal skin flap is flipped and anastomosed to the distal urethral plate. Additionally, subcutaneous tissue of the flipped flap is sutured to cover the original suture lines completely. Results:The Mathieu urethroplasty was successful in one stage in 13 of the 16 primary repair cases (81%). Twelve of the 13 (92%) who underwent a secondary Mathieu procedure were successfully repaired with no problems. An overall success rate of 86% was achieved at the first operation for both primary and secondary cases. In the remaining 14% of the cases, success was achieved with only one additional procedure. Conclusions:The Mathieu flip-flap procedure is feasible for relatively short urethral defects if the ventral penile skin demonstrates adequate mobility and there is no chordee. Even in patients who require revisional hypospadias surgery, the Mathieu procedure can give excellent functional and cosmetic results.

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Section: Discussionmentioning

confidence: 99%

“…19 Ezzat and Nowier described that meatal stenosis may develop postoperatively when the flap length is more than 2 cm, and the complication is due to the ischemia at the tip of the flap. 20 They used flaps with a wide base to ensure good blood supply in 10 cases whose flap length was more than 2 cm and repaired them without complications.…”

Section: Discussionmentioning

confidence: 99%

Primary and salvage urethroplasty using Mathieu meatal‐based flip‐flap technique for distal hypospadias

et al. 2001

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“…Bei Brueziere stieg die Komplikationsrate des voroperierten Teilkollektives gegenüber der des nicht-voroperierten um 19,1 % [4], Im eigenen Krankengut war ein Anstieg um 11,2 % von 20,4% auf 31,6% zu verzeichnen.Meatusstenosen werden auf eine Ischämie des distalen Schwenklappens zurückgeführt. Diese kann durch eine zu lange Neourethra und/oder mangelnde Mitnahme von Subkutangewebe bedingt sein[1,10,16]. Wichtig ist, die Glans über einem Katheter als Platzhalter zu verschließen, um ein ausreichendes Kaliber des Neomeatus zu gewährleisten[5,13,19].…”

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Ergebnisse der Hypospadie-Korrektur nach dem Verfahren von Mathieu

Steffens¹,

Humke²

1996

Aktuel Urol

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Modification of flip-flap technique forcorrection of distal penile hypospadias

Cited by 2 publications

References 2 publications

Primary and salvage urethroplasty using Mathieu meatal‐based flip‐flap technique for distal hypospadias

Primary and salvage urethroplasty using Mathieu meatal‐based flip‐flap technique for distal hypospadias

Ergebnisse der Hypospadie-Korrektur nach dem Verfahren von Mathieu

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