Single-stage repair of severe hypospadias using bladder mucosa graft |
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Authors: | S Chooramani Gopal A N Gangopadhyaya S N Gupta G D Singhal |
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Affiliation: | (1) The Pediatric Surgery Division, Department of Surgery and Children Hospital, Institute of Medical Sciences, Banaras Hindu University, 221 005 Varanasi, India;(2) Banaras Hindu University, B 5/F-2 Meera Colony, 221 005 Varanasi, India |
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Abstract: | Our experience of single-stage repair of severe hypospadias (penoscrotal, scrotal, and perineal) in 30 children using urinary bladder mucosa for urethroplasty is reported. These children had severe chordee, small prepuce, and often ventral transposition of the penis with bifid scrotum where Devine and Horton, Asopa, or Duckett techniques are not so suitable. The graft uptake was uniformly satisfactory. Ten patients had complications; most of the fistulae healed spontaneously. Surgical intervention was required in 2 cases only: 1 for a fistula and another for a stricture with fistula. Meatal stenosis, seen in 4 cases, led to delayed distal fistulae in 2, which healed spontaneously with meatal dilatation. Regular dilatation of the external meatus is recommended to prevent this problem. |
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Keywords: | Severe hypospadias Bladder mucosa graft Single-stage urethroplasty |
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