experience with the transverse preputial tubularised flap for hypospadius repair [Duckett's procedure]

ABSTRACT

Advances in the field of hypospadius surgery [including the use of refined microsurgical techniques, the use of fine suture material and soft indwelling silastic stents] had allowed selective reduction in hospital stay, decreased the need for secondary procedures and had resulted in improvement in the cosmetic and functional outcome of these patients. A transverse preputial tubularized flap was applied as a one stage technique for hypospadius repair in eighteen male children with different ages and had different degrees of hypospadius. Good results were obtained in ten patients regarding the functional and the cosmetic outcome [straight penis, nearly normal appearance of the external meatus situated at the apex of the glands with forward projection of the urinary stream and no penile curvature on erection]. Eight postoperative complications were reported [urethral fistulae, stricture urethra and external meatal stenosis]