Soft tissue covers in hypospadias surgery: Is tunica vaginalis better than dartos flap?

Chandrasekharam, V.V.S.; Jayaram, Harish

doi:10.4103/0971-9261.98139

Cited by 2 publications

(2 citation statements)

References 5 publications

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“…[ 28 , 29 ] Dhua et al [ 30 ] concluded that TVF had an advantage over dartos fascia for soft tissue coverage of the neourethra. However, Chandrasekharam and Jayaram [ 31 ] thought that TVF only had an advantage in reoperative hypospadias repairs in which dartos tissue was unavailable. The fistula rates of scrotal dartos flap and tunica vaginalis were not significantly different in our study.…”

Section: Discussionmentioning

confidence: 99%

The hypospadias classification affected the surgical outcomes of staged oral mucosa graft urethroplasty in hypospadias reoperation

Zheng

Fu²,

Li³

et al. 2017

Medicine

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The staged graft urethroplasty is a recommended technique for repairing complex hypospadias. This retrospective study aimed to investigate the outcomes of this technique in hypospadias patients undergoing reoperation and to analyze the underlying contributing factors including age, meatus location, and graft and suture type.We retrospectively analyzed 40 hypospadias patients undergoing reoperation who received a staged oral graft urethroplasty, including 15 buccal mucosal grafts and 25 lingual mucosal grafts. Median age at presentation was 18.5 years, and median follow-up was 17.5 months (range 8–30 months). The patients were classified according to their original meatus location.Twenty-five complications developed in 12 of 40 (30%) cases, including 6 fistulas (15%), 7 infections (17.5%), 9 cases of glans dehiscence (22.5%), and 3 cases of stenosis (7.5%). There was no significant difference in the overall complication rates between prepuberty and postpuberty groups. In addition, no significant difference in complications was found between the 2 graft techniques. The complications were significantly higher in the original perineal type compared with the original penoscrotal type (7/10 vs 5/30, P = .0031). Seven patients who originally had perineal hypospadias developed multiple complications.Based on this study, the staged graft urethroplasty is an effective technique in reoperative hypospadias repairs with reasonable complication risk. The hypospadias classification affects the surgical outcomes.

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Section: Discussionmentioning

confidence: 99%

The hypospadias classification affected the surgical outcomes of staged oral mucosa graft urethroplasty in hypospadias reoperation

Zheng

Fu²,

Li³

et al. 2017

Medicine

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“…Most researchers agree that the protective cover layer on the neourethra is critical for reducing the risk of postoperative fistula [4]. Nominally, a dartos flap, a tunica vaginalis flap, or subcutaneous preputial tissue is used to cover the reconstructed urethra to reduce the incidence of postoperative fistula [5][6][7][8][9][10]. Seo et al reported that dartos flaps created from the ventral and basal surface of the penis are effective for covering and strengthening the reconstructed urethra and reduce the incidence of postoperative fistulae to 4.1 % [11].…”

Section: Introductionmentioning

confidence: 99%

Surgical Repair of Mid-shaft Hypospadias Using a Transverse Preputial Island Flap and Pedicled Dartos Flap Around Urethral Orifice

Liang¹,

Ji²,

Chen³

et al. 2016

Aesth Plast Surg

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Soft tissue covers in hypospadias surgery: Is tunica vaginalis better than dartos flap?

Cited by 2 publications

References 5 publications

The hypospadias classification affected the surgical outcomes of staged oral mucosa graft urethroplasty in hypospadias reoperation

The hypospadias classification affected the surgical outcomes of staged oral mucosa graft urethroplasty in hypospadias reoperation

Surgical Repair of Mid-shaft Hypospadias Using a Transverse Preputial Island Flap and Pedicled Dartos Flap Around Urethral Orifice

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