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COMBINED BUCCAL MUCOSA GRAFT AND LOCAL FLAP FOR URETHRAL RECONSTRUCTION IN VARIOUS FORMS OF HYPOSAPDIAS

2005; Lippincott Williams & Wilkins; Volume: 174; Issue: 2 Linguagem: Inglês

10.1097/01.ju.0000164759.49877.f4

1527-3792

Qiang Li, Senkai Li, Wen Chen, Jiajie Xu, Mingyong Yang, Yangqun Li, Yongqian Wang, Zhenmin Zhao,

Urinary and Genital Oncology Studies

No AccessJournal of UrologyPediatric Urology1 Aug 2005COMBINED BUCCAL MUCOSA GRAFT AND LOCAL FLAP FOR URETHRAL RECONSTRUCTION IN VARIOUS FORMS OF HYPOSAPDIAS QIANG LI, SENKAI LI, WEN CHEN, JIAJIE XU, MINGYONG YANG, YANGQUN LI, YONGQIAN WANG, and ZHENMIN ZHAO QIANG LIQIANG LI More articles by this author , SENKAI LISENKAI LI More articles by this author , WEN CHENWEN CHEN More articles by this author , JIAJIE XUJIAJIE XU More articles by this author , MINGYONG YANGMINGYONG YANG More articles by this author , YANGQUN LIYANGQUN LI More articles by this author , YONGQIAN WANGYONGQIAN WANG More articles by this author , and ZHENMIN ZHAOZHENMIN ZHAO More articles by this author View All Author Informationhttps://doi.org/10.1097/01.ju.0000164759.49877.f4AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: Hypospadias is one of the most common congenital deformities in the male urogenital system. Although there are more than 250 techniques for treating hypospadias, it is often difficult to repair severe hypospadias using conventional methods. Materials and Methods: We combined a buccal mucosa graft with a local onlay flap for urethral reconstruction in cases of severe hypospadias or a failed previous operation. A total of 162 patients with hypospadias (glandular 11, penile 40, penoscrotal 49, scrotal 34 and perineal 28) were treated between July 2000 and November 2003. For patients whose urethral meatus was perineal 2 treatment steps were taken. First, we used the aforementioned method to construct the penile urethra, and then we constructed the scrotal and perineal urethra with a local flap. Results: Of the 134 nonperineal cases 127 were managed successfully in 1 stage, and 26 of 28 perineal cases were managed successfully in 2 stages. Most patients had a satisfactory penile appearance. A urethral fistula resulted in 8 cases, of which 4 closed spontaneously within 1 month postoperatively. Meatal stenosis occurred in 1 case. Conclusions: This technique is simple, safe and reliable, especially in cases of failed previous operation or for salvage hypospadias repair with deficient local tissue. References 1 : Hypospadias. In: . Philadelphia: W. B. Saunders Co.2002: 2285. sect. IX, chapt. 65. Google Scholar 2 : Onlay island flap urethroplasty: variation on a theme. J Urol1992; 148: 1507. Link, Google Scholar 3 : A versatile two-stage hypospadias repair. Br J Plast Surg1995; 48: 345. Google Scholar 4 : Functional evaluation of one-stage urethroplasty with parameatal foreskin flaps repair of hypospadias using uroflowmetry. Int J Urol2003; 10: 297. Google Scholar 5 : Use of buccal mucosal grafts in hypospadia-crippled adult patients. Ann Plast Surg2003; 50: 382. Google Scholar 6 : Results of single staged hypospadias surgery to repair penoscrotal hypospadias with bifid scrotum or penoscrotal transposition. J Urol2003; 170: 1585. Abstract, Google Scholar 7 : Buccal mucosa grafts for hypospadias surgery: long-term results. J Urol2002; 168: 1734. Link, Google Scholar 8 : Reconstruction of hypospadias and epispadias with buccal mucosa free graft as primary surgery: more than 10 years of experience. J Urol2003; 170: 1600. Link, Google Scholar 9 : Severe hypospadias repair with meatal based paracoronal skin flap: the modified Koyanagi repair. J Urol2001; 166: 1051. Link, Google Scholar Plastic Surgery Hospital, PUMC & CAMS, Beijing, China© 2005 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byMyers J, McAninch J, Erickson B and Breyer B (2012) Treatment of Adults with Complications from Previous Hypospadias SurgeryJournal of Urology, VOL. 188, NO. 2, (459-463), Online publication date: 1-Aug-2012.Markiewicz M, Lukose M, Margarone J, Barbagli G, Miller K and Chuang S (2007) The Oral Mucosa Graft: A Systematic ReviewJournal of Urology, VOL. 178, NO. 2, (387-394), Online publication date: 1-Aug-2007. Volume 174Issue 2August 2005Page: 690-692 Advertisement Copyright & Permissions© 2005 by American Urological Association, Inc.Keywordsmouth mucosasurgical flapshypospadiasurethraMetricsAuthor Information QIANG LI More articles by this author SENKAI LI More articles by this author WEN CHEN More articles by this author JIAJIE XU More articles by this author MINGYONG YANG More articles by this author YANGQUN LI More articles by this author YONGQIAN WANG More articles by this author ZHENMIN ZHAO More articles by this author Expand All Advertisement PDF downloadLoading ...