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Urethroplasty Using Diverticular Tissue for Hypospadias
Author(s) -
MITSUKAWA Nobuyuki,
KUBOTA Yoshitaka,
AKITA Shinsuke,
HASEGAWA Masakazu,
SAIGA Atsuomi,
SATOH Kaneshige
Publication year - 2016
Publication title -
luts: lower urinary tract symptoms
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.451
H-Index - 15
eISSN - 1757-5672
pISSN - 1757-5664
DOI - 10.1111/luts.12089
Subject(s) - urethroplasty , medicine , hypospadias , urethral diverticulum , surgery , diverticulum (mollusc) , urethral stricture , urethra , glans , chordee , scrotum , lithotomy position , urinary diversion , urination , urology , urinary system , cystectomy , penis , anatomy , bladder cancer , alternative medicine , pathology , cancer
Case The patient was a 3‐year‐old with hypospadias. Urethroplasty was performed as a two‐stage procedure, but a severe urethral stricture occurred due to a postoperative infection and the patient was virtually in urinary retention. An emergency cystostomy was performed, and thereafter urethral reconstruction was performed. A large urethral diverticulum had formed in the scrotum. The inner wall of the diverticulum was found to be completely epithelialized and well vascularized. Therefore, it was elevated as a skin flap and a neourethra was reconstructed up to the glans region using the diverticular tissue. Outcome Postoperative complications were not observed, and micturition was satisfactory. Conclusion A urethral diverticulum is one of the often encountered complications of hypospadias surgery. However, there are only a few literature reports related to the treatment of urethral diverticulum. In addition, there are almost no reports on reconstructions using urethral diverticular tissue. In this report, we describe such a treatment experience.