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- Title
TUNICA VAGINALIS FLAP INTEGRATED WITH BUCCAL OR BLADDER MUCOSA GRAFT: AN ALTERNATIVE TO TWO-STAGE HYPOSPADIAS RECONSTRUCTION PROCEDURES.
- Authors
PAGKALOS, Vasileios A.; GEORGIADIS, Christos; PETSAS, Konstantinos; BOLOMITIS, Stefanos; IOANNIDIS, Konstantinos; Archontakis, Athanasios
- Abstract
AIM: Hypospadias is one of the most common congenital anormalities in men with prevalence rates varying from 4 to 43 patients per 10,000 births in different countries and studies. Hypospadias repair is regarded as a demanding procedure with many techniques described in the literature. The aim of this study is to present our experience with one-stage hypospadia repair in adults, using tunica vaginalis fl ap in combination with buccal or bladder mucosa graft. MATERIAL - METHOD: From 1991 to 2012, a total of 55 adult patients underwent one-stage hypospadia repair with tunica vaginalis fl ap. Buccal mucosa and bladder mucosa grafts for the neourethra reconstruction were used in 37 and 18 patients respectively. Patients attended routine follow-up visits. RESULTS: Our series of 55 patients resulted in 91% success after a single operation with 9% needing a second repair. All patients had satisfactory results in terms of aesthetics and function. CONCLUSIONS: The goals of hypospadia surgery are the creation of a straight, cosmetically acceptable phallus consisting of an orthotopic, slit-like urethral meautus and conically shaped glans and adequate skin coverage with an appropriate mucosal collar. Tunica vaginalis fl ap brings its vascular supply to the reconstructed area and therefore serves as a tissue layer that provides the buccal or bladder mucosa graft with the essential nutritients in order for the graft to take. Although more technically challenging, this combination seems to minimize surgical complications and result to a high rate of successful outcomes through a one-stage procedure.
- Publication
Balkan Military Medical Review, 2014, Vol 17, p21
- ISSN
1107-6275
- Publication type
Article