
Long-Term Undesirable Consequences of Penile Skin Island Flap to Correct Penoescrotal Transposition: A Case Report and Review of Literature
Author(s) -
Raquel Varea-Malo,
Daniel Martínez Revuelta,
Félix Campos-Juanatey,
P. Calleja Hermosa,
Miguel Ángel Sánchez Gómez
Publication year - 2021
Publication title -
case reports in urology
Language(s) - English
Resource type - Journals
eISSN - 2090-696X
pISSN - 2090-6978
DOI - 10.1155/2021/6656540
Subject(s) - hypospadias , medicine , glans penis , glans , preputial gland , penis , meatus , dorsum , surgery , transposition (logic) , foreskin , urinary system , skin flap , anatomy , linguistics , philosophy , genetics , biology , cell culture
Hypospadias is a congenital malformation of the male lower urinary tract, consisting of a ventral urethral opening proximal to the glans penis. This condition is corrected surgically in the paediatric age, with a great variety of techniques available. Traditionally, a tubularized genital skin was used for one- or two-stage repairs. Nowadays, the tendency is to use preputial or oral mucosa grafts, dorsally located, to avoid diverticula formation and prevent hair growth in the neourethra. We present a case of a patient born with proximal hypospadias with penoscrotal transposition, surgically corrected in his childhood, using dorsal penile skin island flap. The patient is referred to urology consultation in his adulthood for a weak urinary stream, recurrent infections, and a large amount of hair exiting through the urethral meatus.