Premium
Modified foreskin reconstruction for distal hypospadias and chordee without hypospadias
Author(s) -
Hayashi Yutaro,
Kojima Yoshiyuki,
Mizuno Kentaro,
Maruyama Tetsuji,
Tozawa Keiichi,
Kohri Kenjiro
Publication year - 2008
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.1442-2042.2008.02069.x
Subject(s) - hypospadias , chordee , foreskin , medicine , urology , surgery , urethra , urethroplasty , cell culture , biology , genetics
Although foreskin reconstruction was established for hypospadias surgery in Europe two decades ago, it appears to introduce an extra risk of postoperative complications. We modified foreskin reconstruction in order to reduce the complications caused by its use. After correction of penile curvature and urethroplasty, the inner mucosal layer of the foreskin was separated from the outer skin layer. The approximation of each layer in the midline was limited and transverse adaptation was added to the remaining portion. We carried out the modified foreskin reconstruction for 11 patients and no patients developed postoperative complications. After the foreskin reconstruction, the glans, which was concealed by the reconstructed foreskin, was easily exposed by retracting the foreskin.