RESUMO
Failed hypospadiass cases may result in hypovascular, scarred penis with residual penile chordee and leave the patient with minimal residual skin for penile resurfacing and urethroplasty. Local tissue expansion has become a good alternative to provide skin for penis by using expanders however they require long periods of time for expansion. Besides, rapid tissue expansion was also described in different tissues. We used rapid intraoperative expansion technique by using a Foley catheter in a failed hypospadias case who had minimal residual skin secondary to infection and we concluded that rapid intraoperative tissue expansion with Foley catheter is an effective, feasible reconstructive method for easy dissection and penile resurfacing in failed hypospadiass cases.
.Assuntos
Pré-Escolar , Humanos , Masculino , Hipospadia/cirurgia , Pênis/cirurgia , Dispositivos para Expansão de Tecidos , Expansão de Tecido/instrumentação , Cateteres Urinários , Cateterismo Urinário/instrumentação , Hipospadia/patologia , Reprodutibilidade dos Testes , Resultado do Tratamento , Expansão de Tecido/métodos , Uretra/cirurgiaRESUMO
Urethral duplications are rare congenital anomalies. Approximately 200 cases of urethral duplications have been reported in literature. We present a seven-year-old-boy with an embryologic preputial sinus remnant which was mimicking urethral duplication. The clinical presentations and embryology of the urethral duplication and preputial sinus are discussed.