use of transverse rotational pedicle flap for the treatment of midpenile and proximal hypospadias in circumcised patients

ABSTRACT

To evaluate the use of transverse rotational pedicle flap for the treatment of midpenile and proximal hypospadias in circumcised patients. The transverse penile rotational pedicled flap, was performed on 20 circumcised patients with midpenile and proximal hypospadias with chordae. Of the 20 circumcised boys, 10 had midpenile and 10 had penoscrotal hypospadias, after excision of the chordae. Mean age of patients is 4.7 years, mean follow up period is 1 year. Cosmetic results were good. Complications were urethrocutaneous fistula in 3 patients [15%] and meatal stenosis in 2 patients [10%]. The modified technique as shown in our procedure reduces the fistula rate. Thus, we recommend the use of transverse island rotational penile pedicled flaps for the treatment of midpenile and proximal hypospadias with chordae in circumcise patients