Abstract
Asopa used the transverse preputial skin as a single-stage correction of proximal hypospadias based on the superficial dorsal vessels of the penis. To avoid torsion, Asopa described the double-faced preputial island flap. Here, he used the adjacent skin flap covering the mucosal flap of the neourethra. Both flaps are based on the superficial dorsal vessels. In 1981, Duckett used the same principle and described the tubularized preputial island flap. The Duckett island flap differed from Asopa’s flap in that Duckett isolated the preputial tube from the remainder of the dorsal skin on a vascular pedicle. Duckett used a glans channel when he described the technique. This is no longer recommended as meatal stenosis is liable to occur. It is preferred to make a deep Y-shaped incision of the glans and freely mobilize the two lateral glanular wings.
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Abbreviations
- TIP:
-
Tubularized incised plate
References
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Bajpai, M., Singh, A. (2022). Preputial Island Flaps. In: Hadidi, A.T. (eds) Hypospadias Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-94248-9_34
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DOI: https://doi.org/10.1007/978-3-030-94248-9_34
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