Long-Term Undesirable Consequences of Penile Skin Island Flap to Correct Penoescrotal Transposition: A Case Report and Review of Literature

Abstract

Hypospadias is a congenital malformation of the male lower urinary tract, consisting of a ventral urethral opening proximal to the glans penis. This condition is corrected surgically in the paediatric age, with a great variety of techniques available. Traditionally, a tubularized genital skin was used for one- or two-stage repairs. Nowadays, the tendency is to use preputial or oral mucosa grafts, dorsally located, to avoid diverticula formation and prevent hair growth in the neourethra. We present a case of a patient born with proximal hypospadias with penoscrotal transposition, surgically corrected in his childhood, using dorsal penile skin island flap. The patient is referred to urology consultation in his adulthood for a weak urinary stream, recurrent infections, and a large amount of hair exiting through the urethral meatus.

Current perspectives in hypospadias research: A scoping review of articles published in 2021 (Review)

“…Reoperation rate after distal hypospadias repair ranges from 3.3-6.7% (106,107). Other related complications are penile curvature that appears in 25% of cases (>30˚) (43,102,108-110), hairy urethra (111,112), erectile dysfunctions (113,114) and lower urinary tract symptoms (115). There were similar complications every surgeon is acquainted with.…”