[Transverse preputial island flap technique (Duckett's procedure) for hypospadias repair: a report of 356 cases].

OBJECTIVE

To evaluate the effect of the transverse preputial island flap technique (Duckett's procedure) for hypospadias repair.

METHODS

A total of 356 patients with hypospadias were treated by Duckett's procedure from March 1995 to December 2010, of whom 324 (91.0%) were younger than 14 years. The length of urethra repair ranged from 1.5 to 10 cm.

RESULTS

The total success rate of Duckett's procedure was 91.0%. Urethra fistula occurred in 30 cases, external orifice stricture in 1, and urethral anastomosis stricture in another. There were no significant differences in the rate of complications among either different age groups or different surgical times (P > 0.05).

CONCLUSION

Duckett's procedure remains the first choice for the one-stage repair of hypospadias, especially applicable to hypospadias with chordee.