Summary
The use of the pedicled transverse island flap in reconstructive repairs is described. Experience with 35 hypospadias repairs shows that excellent cosmetic and functional results may be obtained, and 5 epispadias cases were corrected in this way with good results. The use of this technique is advocated in cases of severe urethral stricture and is demonstrated on 3 patients. The different techniques are described with emphasis on the critical surgical points and on the importance of the wound dressing.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Asopa HS, Ethence EP, Atria SP, et al (1971) One stage correction of penile hypospadias using a foreskin tube. A preliminary report. Int Surg 55:435
Blandy J (1978) Operations on the urethra. In: Blandy J (ed) Operative urology. Blackwell, Oxford, p 201
Broadbent TR, Woolf RM, Toksu W (1961) Hypospadias: one stage repair. Plast Reconstr Surg 27:154
Byars LT (1950) Surgical repair of hypospadias. Surg Clin North Am 30:1371
Devine CJ, Horton CE (1977) Hypospadias repair. J Urol 118:188
Devine CJ, Horton CE, et al (1980) Epispadias. Urol Clin North Am 7:465
Duckett JW (1980) Hypospadias. Clin Plast Surg 7:149
Duckett JW (1980) Transverse preputial island flap technique for repair of severe hypospadias. Urol Clin North Am 7:423
Hodgson NB (1979) Hypospadias and urethral duplications. In: Harrison JH, Gittes RF, Perlmutter AD, et al (eds) Campbells urology, 4th edn, vol 2. Saunders, Philadelphia London
Johnston JH (1982) The extrophic anomalies. In: Williams DI, Johnston JH (eds) Pediatric urology. Butterworths, London, p 299
Nesbit R (1941) Plastic procedure for correction of hypospadias. J Urol 45:699
Sachse H (1974) Zur Behandlung der Hamröhrenstriktur. Die transurethrale Schlitzung unter Sicht mit scharfem Schnitt. Fortschr Med 92:12
Sachse H (1984) Spätergebnisse bei Urethrastrikturoperationen mittels optischer Urethrotomie. 18. Alpenländisches Symposium, St Gallen 1984
Standoli L (1979) Correzione Dell'ypospadias in tempo unico: tecnica dell' urethroplastica can lembo ad isda prepuziale. Presentazione di 367 casi operati dal 1975 al 1978. Rass Ital Chir Pediatr 21:82
De Sy WA, Oosterlinck W, et al (1981) Hypospadiekorrektur in einem Operationsvorgang mit freiem Hautlappen oder mit querem praeputial Insellappen. Aktuel Urol 12 [Suppl]
Turner-Warwick RT (1983) Urethral stricture surgery. In: Glenn JF (ed) Urologic surgery. Lippincott, Philadelphia, p 689
Walther PC, Parsons CL, et al (1980) Direct vision urethrotomy in the management of urethral strictures. J Urol 123:497
Williams DI (1977) Epispadias and extrophy. In: Eckstein HB, Hohenfellner R, Williams DI (eds) Surgical pediatric urology. Thieme, Stuttgart, p 298
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
de Vries, J.D.M., Debruyne, F.M.J. The use of the pedicled transverse island flap of the inner prepuce in hypospadias, epispadias and urethral stricture repair. World J Urol 2, 259–265 (1984). https://doi.org/10.1007/BF00326699
Issue Date:
DOI: https://doi.org/10.1007/BF00326699