[The application of tunica vaginalis flap in urethral repair].

OBJECTIVE

To investigate the application of tunica vaginalis flap in repairing the deformity of urethra and urethral fistulas.

METHODS

Tunica vaginalis flap from the scrotum were used to wrap the reconstructed urethra in the 38 cases of hypospadias urethroplasty and urethral fistulas repair from 2002.

RESULTS

All of cases were followed up for six months to one year. There was a fistula reoccurred after epispadias fistula repair, the repair was successful in other patients. There was no recurrent fistulas or urethral strictures. Penile cosmesis was excellent and erected well.

CONCLUSIONS

The application of tunica vaginalis flap in urethral repair can raise achievement ratio and reduce the incidence of urethral fistulas. The flap is ease to mobilize with no harmful effects on the testicles.