One-Stage Repair of Perineal Hypospadias and Scrotal Transposition

Original Koyanagi urethroplasty versus modified Hayashi technique: Outcome in 57 patients

“…In the armamentarium of techniques used to reconstruct proximal severe hypospadias, the Koyanagi procedure [4] and its variant e the Hayashi procedure [5] e are established alternatives for urethral reconstruction. The aim of this article is to compare the outcomes of these two techniques and discuss their place compared to other techniques.…”

A New Technique for Skin Closure in Hypospadias: Ipsilateral Penoscrotal Approximation for Closure

“…The redeployment of the lat eral scrotal skin to the ventrum, and midline suturing of proximal scrotal incisions provide dorsiflexion of the penis and fusion of the scrotum. Although this technique is essentially similar to the scrotal transposition which we described previously [10], it results in a more natural and simpler covering of the ventrum of the penoscro tum. It is important to note that unsightly hypertrophic thickening results from using excessively large scrotal flaps.…”

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

“…7B). By cutting along the proposed outline, the foreskin flap is bivalved and a proximal subcu taneous layer is lateralized judiciously so that the subcutaneous We have been performing one-stage repair ever since we first reported a protomethod for this severe hypospa dias with bifid scrotum [4]. Our method of one-stage repair, which has evolved since then and is reported here in a refined form, is distinct in several aspects.…”