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Ventral based dartos flap for the prevention of the urethrocutaneous fistula urethroplasty
Author(s) -
Hayashi Yutaro,
Kojima Yoshiyuki,
Nakane Akihiro,
Kurokawa Satoshi,
Tozawa Keiichi,
Kohri Kenjiro
Publication year - 2007
Publication title -
international journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.172
H-Index - 67
eISSN - 1442-2042
pISSN - 0919-8172
DOI - 10.1111/j.1442-2042.2007.01811.x
Subject(s) - medicine , urethroplasty , fistula , surgery , urethra
Background: Urethrocutaneous fistula is a common complication of urethroplasty for hypospadias even when a microsurgical technique is applied. Methods: From January 1999 to November 2006, we applied the ventral based dartos flap wrapping technique to prevent the occurrence of urethrocutaneous fistula in 34 patients with hypospadias. Results: Hypospadias was repaired without fistula formation in 31 patients while three patients developed a tiny fistula, which was later closed successfully by a simple procedure. Conclusion: We conclude that the ventral based dartos flap wrapping technique could be an alternative to the dorsal dartos flap for covering the neourethra with a vascularized flap because the procedure is very simple, and complications rarely occur.