The GUDplay technique: A shift of paradigm in glans reconstruction for midshaft and penoscrotal hypospadias with moderate chordee. A proposal of a new approach.
J Pediatr Urol
; 20(3): 537-538, 2024 Jun.
Article
en En
| MEDLINE
| ID: mdl-38677981
ABSTRACT
INTRODUCTION:
After 5 years experience with the GUD (glandular urethral disassembly) technique for distal hypospadias, we present the GUDplay technique, incorporating Thiersch-Duplay tubularization of the plate till the coronal area, disassembling the glans aggressively and refurbishing the glans.METHODS:
We defined the urethral plate and designed an inverted Y incision to open the glans in two wings. The glans was entirely detached from the corpora to gain a great mobility that allowed minor cranial mobilization of the urethra and caudal rotation of the wings. In sequence, there are well-knownsteps:
Duplay urethroplasty, spongioblasts and a Dartos flap to cover the neourethra. The glans was connected to the urethra by 6.0 PDS sutures except in the ventral meatus and the glans wings are joined in the midline.RESULTS:
The 5-year-old patient had midshaft hypospadias without previous surgery. The catheter was removed after a week and the healing appears to be good.DISCUSSION:
We combined principles of total glans deconstruction in association to Duplay tubularization and then lifted it up to the tip of the glans divided in two wide and mobile wings. We have treated a small series of 6 cases without complications and mean follow-up of 6.2 months.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Pene
/
Procedimientos Quirúrgicos Urológicos Masculinos
/
Uretra
/
Procedimientos de Cirugía Plástica
/
Hipospadias
Límite:
Child, preschool
/
Humans
/
Male
Idioma:
En
Revista:
J Pediatr Urol
Año:
2024
Tipo del documento:
Article
País de afiliación:
Brasil