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Thiersch-Duplay Principle

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Hypospadias Surgery

Abstract

In 1869, Professor C. Thiersch reported that in 1857 and 1858 he had tubularized the urethral plate to form a urethral canal in a child born with epispadias. He credited the technique to August Brauser, his onetime assistant. Thiersch’s classic article illustrated the design of the flaps and the asymmetric lateral incisions so that the urethral suture lines are unopposed. In 1874, Duplay described the tubularization of the urethral plate distal to the urethral orifice. His first successful hypospadias repair with this technique was achieved in five stages. In 1880, Duplay observed the capacity of the urethral plate to tubularize over a catheter. He wrote: “Although the catheter is not actually covered entirely by skin, I am convinced that this has no ill effect on the formation of the new urethra; stricture formation does not occur so long as half of the urethral wall is supplied by skin”. This concept was popularized by Denis Browne in 1949, when he described the buried skin strip method for hypospadias repair.

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Authors
  1. Moneer Hanna
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  2. Adam C. Weiser
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Editor information

Editors and Affiliations

  1. Cairo University Hospital, 32 Haroon Street 32, El Messaha Dokki, Cairo, 12311, Egypt

    Ahmed T. Hadidi

  2. Royal Hospital for Sick Children, Yorkhill, Glasgow, G3 8SJ, UK

    Amir F. Azmy

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© 2004 Springer-Verlag Berlin Heidelberg

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Hanna, M., Weiser, A.C. (2004). Thiersch-Duplay Principle. In: Hadidi, A.T., Azmy, A.F. (eds) Hypospadias Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-07841-9_16

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  • DOI: https://doi.org/10.1007/978-3-662-07841-9_16

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-07843-3

  • Online ISBN: 978-3-662-07841-9

  • eBook Packages: Springer Book Archive

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