Orthotopic skin flaps for hypospadius repair and its failures

ABSTRACT

Tubularised flaps from the preputial, penile and scrotal skin were used for repair of severe degrees of hypospadius either as a primary one stage repair or as secondary repair of failed or compromised primary reconstruction in 28 boys. Primary one stage repair was done in [12] cases [5 of them were wrongly circumcised with deficient preputial skin]. Secondary reconstruction was perfomed in [16] cases after failed or complicated primary repair. Vertical flaps from the lateral penile shaft skin or the scrotum were utilised for urethral repair when the prepuce is lacking by previous circumcision or by previous repair. Scrotal skin can further be mobilised to cover penile shaft skin defects. Both penile and scrotal skin are suitable and available substitutes for hypospadiac urethral reconstruction when the prepuce is deficient or insufficient