One-stage Repair of Hypospadias: Preputial Island Flap Technique

The role of flaps and grafts in modern hypospadiology

“…Though others throughout the world helped to pioneer the technique,[2021] it is Duckett who typically receives credit for making the technique a popular choice for proximal hypospadias. [22]…”

Newer Concepts in the Management of Hypospadias and its Complications

“…This can be seen during dissection between the two layers. That an inner preputial island (9), outer preputial island (25) or a double-faced island (11), all survive on the superficial dorsal vessels alone, is ample proof of this. The extended oblique cut maintains symmetry and avoids torsion, and thus gives good cosmetic results (Fig.…”

Total Preputial Flap: A Reliable and Versatile Technique for Urethral and Penile Reconstruction

“…We prefer to use the thicker outer prepuce for the urethroplasty to minimize the development of diverticula, which are rather common in some reported series. It should be noted that Standoli also recommended the outer preputial layer for the urethroplasty (4). The technique of bringing the TPF ventrally by means of a buttonhole created at the base of the pedicle avoids axial rotation of the penis that can occur when the flap is transferred ventrally around one side.…”

“…(2) re-introduced the concept of preputial flaps in the early 1970s. The concept was further developed by Standoli in 1979 (3, 4) and widely popularized by Duckett in 1980 (5). In the last 20 years, many surgeons have tended to return to two-stage repairs following the lead of Greenfield et al .…”