Transverse preputial island flap neo-urethroplasty.

The first account of transverse preputial island flap neo-urethroplasty was given in 1978 by Duckett (unpublished material) from Philadelphia to this association. The procedure, commonly known as the Duckett operation, is for the repair of hypospadias in boys whose urethral defect is too long for them to be treated by meatal advancement and glanduloplasty, also described by Duckett in 1980. These 2 operations leave only a very small number of hypospadiacs with a urethral defect so long that more complicated surgery is needed. Acquired urethral defects can also be repaired using transverse preputial island flap neo-urethroplasty.