[One stage repair of scrotal and perineal hypospadias with prepuce island flap].

OBJECTIVE

To explore an effective method to repair penile-scrotal or perineal hypospadias in one stage with prepuce island flap.

METHODS

Different prepuce island flaps were designed according to the different pathological anatomy of the penile-scrotal or perineal hypospadias. The prepuce island flaps were thus translocated and sutured to form the urethra. Thirty-one cases of hypospadias (21 cases of peinil-scrotal type, 10 cases of perineal type) were repaired with prepuce island flap. The biggest length and the width of the prepuce island flap were 7.5 cm and 1.5-1.8 cm respectively.

RESULTS

All the cases resulted in a good contour of the penis and a normal anatomic position of urethral meatus without any redundancy or tortuosity. The urination was perfect and acceptable.

CONCLUSION

One stage repair of penile-scrotal or perineal hypospadias with prepuce island flap can be considered as an acceptable effective surgical technique.