Use of a vertical island flap for correction of epispadias.

An 18-year-old man presented with epispadias. His main complaints were dorsal curvature of the penis and difficulties during erection and micturition. Primary urethroplasty at another hospital had been only minimally successful. The public bones were normal and he was continent. He was treated by complete excision of the chordee and urethroplasty. Local flaps were used to reconstruct the glandular urethra, and a vertical penile island flap was used to replace the missing portion of the penile urethra. Good straightening of the penis and a new urethra with a well-closed meatus at the tip of the glans were achieved in a single-stage operation. No complication occurred, and the result was satisfactory from both the aesthetic and functional points of view.