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The use of dermal graft in severe chordee hypospadias repair: experience from Vietnam

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Abstract

Purpose

Severe chordee with hypospadias may require repair by ventral corporoplasty with a free graft before urethroplasty. We report an 11 year experience with one-stage and two-stage hypospadias repair using dermal grafts.

Materials and methods

From 12/1997 to 12/2008, 47 hypospadias with severe chordee were repaired using a ventral dermal graft to correct the chordee. Forty cases were repaired in two stages; the remaining seven patients had adequate preputial skin and were repaired in one stage. In 28 cases the neourethra was covered with both tunica vaginalis and penile dartos flap while 12 were covered only with penile dartos flap. Patients ranged from 12 to 152 months of age. Follow-up ranged from 6 months to 4 years.

Results

28 patients with both tunica vaginalis and dartos flap had 7 urethral fistulas and 2 developed meatal stenosis. 12 patients with only penile dartos flap had 3 fistulas and 2 had meatal regression. The seven patients who underwent a one-stage repair had good results with a straight penis and no evidence of urethral fistula or urethral stenosis.

Conclusions

Dermal graft can be performed in one or two stage hypospadias repair. Complication rates are similar to other standard repairs for proximal hypospadias.

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References

  1. John W. Duckett (2002) Operative pediatric urology. In: Frank JD, Gearhart JP, Snyder III HM (eds), 2nd edn. Harcourt Publishers Limited, pp 151–160

  2. Devine CJ Jr, Horton CE (1975) Use of dermal graft to correct chordee. J Urol 113:56

    PubMed  Google Scholar 

  3. Hendren Hardy, Keating Michael (1988) Use of dermal graft and free urethral graft in penile reconstruction. J Urol 140:1265–1269

    CAS  PubMed  Google Scholar 

  4. Horton CE, Gearhart JP, Jeffs RD (1993) Dermal grafts for correction of severe chordee associated with hypospadias. J Urol 150:452–455

    PubMed  Google Scholar 

  5. Lindgren BW, Reda EF, Levitt SB, Brock WA, Franco I (1998) Single and multiple dermal grafts for the management of severe penile curvature. J Urol 160:1128

    Article  CAS  PubMed  Google Scholar 

  6. Pope JC IV, Kropp BP, Mclauglin KP, Adams MC, Rink RC, Keating MA, Brock JW III (1996) Penile orthoplasty using dermal grafts in the outpatient setting. Urology 48:124–127

    Article  PubMed  Google Scholar 

  7. Caesar RE, Caldamone Anthony A (2000) The use of free grafts for correcting penile chordee. J Urol 146:1691–1693

    Article  Google Scholar 

  8. Vandersteen DR, Husmann DA (1998) Late onset recurrent penile chordee after successful correction at hypospadias repair. J Urol 160:1131–1133

    Article  CAS  PubMed  Google Scholar 

  9. Michael L, Richey, Michaelene Ribbeck (2003) Successful use of tunica vaginalis grafts for treatment of severe chordee in children. J Urol 170:1574–1576

    Article  Google Scholar 

  10. Kajbafzadeh AM, Hamid Arshadi, Payabvash S, Salmasi AH, Tousi VN, Sahebpor ARA (2007) Proximal hypospadias with severe chordee: single stage repair using corporeal tunica vaginalis free graft. J Urol 178:1036–1042

    Article  PubMed  Google Scholar 

  11. Braga LH, Pippi Salle JL, Dave S, Bagli DJ, Lorenzo AJ, Khoury AE (2007) Outcome analysis of severe chordee correction using tunica vaginalis as a flap in boys with proximal hypospadias. J Urol 178:1693

    Article  PubMed  Google Scholar 

  12. Miguel Castellan, Rafael Gosalbez, Joshi Devendra, Yuval Bar-Yosef, Andrew Labbie (2011) Ventral corporal body grafting for correcting severe penile curvature associated with single or two-stage hypospadias repair. J. Pediat Urol 7:289–293

    Article  Google Scholar 

  13. Soergel TM, Cain MP, Kaffer M, Gitlin J, Casale AJ, Davis MM, Rink RC (2003) Complication of small intestinal submucosa for corporal body grafting for proximal hypospadias. J Urol 170:1577–1579

    Article  PubMed  Google Scholar 

  14. Weiser AC, Franco I, Herz DB, Silver RI, Reda EF (2003) Single layer small intestinal submucosa in the repair of severe chordee and complicated hypospadias. J Urol 170:1593–1595

    Article  PubMed  Google Scholar 

  15. Hayn MH, Bellinger MF, Schneck FX (2009) Small intestine submucosa as a corporal body graft in the repair of severe chordee. Urology 73(2):277–279

    Article  PubMed  Google Scholar 

  16. Elmore JM, Kirsch AJ, Scherz HC, Smith EA (2007) Small intestinal submucosa for corporal body grafting in severe hypospadias requiring division of the urethral plate. J Urol 178:1698–1701

    Article  PubMed  Google Scholar 

  17. Luis HP, Braga Armando J, Lorenzo Darius J, Bägli Sumit Dave, Eeg Kurt, Farhat Walid A, Pippi Salle João L, Khoury Antoine E (2008) Ventral penile lengthening versus dorsal plication for severe ventral curvature in children with proximal hypospadias. J Urol 180:1743–1748

    Article  Google Scholar 

  18. Wilcox DT, Mouriquand PDE (2008) Hypospadias in essentials of pediatric urology. In: Thomas DFM, Duffy PG, Rickwood AMK (eds), 2nd edn. Informa Healthcare, pp 213–231

  19. Chatterjee US, Mandal MK, Basu S, Das R, Majhi T (2004) Comparative study of dartos fascia and tunica vaginalis pedicle wrap for the tubularized incised plate in primary hypospadias repair. BJU Int 94:1102–1104

    Article  PubMed  Google Scholar 

  20. Wilcox DT, Snodgrass W (2006) Long-term outcome following hypospadias repair. World J Urol 24:240

    Article  PubMed  Google Scholar 

  21. Badawy H, Morsi H (2008) Long-term followup of dermal grafts for repair of severe penile curvature. J Urol 180(4 Suppl):1842–1845

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Children Hospital 2, 14 Ly Tu Trong St, Dist 1, Ho Chi Minh, Vietnam

    Le Tan Son

  2. University of Medicine and Pharmacy, 217 Hong Bang St, Dist 5, Ho Chi Minh, Vietnam

    Le Tan Son & Nguyen Thi Truc Linh

  3. Children Hospital 1, 341 Su Van Hanh St, Dist 10, Ho Chi Minh, Vietnam

    Le Thanh Hung & Le Cong Thang

Authors
  1. Le Tan Son
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  2. Le Thanh Hung
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  3. Le Cong Thang
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  4. Nguyen Thi Truc Linh
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Correspondence to Le Tan Son.

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Son, L.T., Hung, L.T., Thang, L.C. et al. The use of dermal graft in severe chordee hypospadias repair: experience from Vietnam. Pediatr Surg Int 31, 291–295 (2015). https://doi.org/10.1007/s00383-015-3656-5

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  • DOI: https://doi.org/10.1007/s00383-015-3656-5

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