Jehangir Ahmed.
Transverse preputial island flap for hypospadias repair.
J Surg Pak Jan ;15(3):139-43.

Objective To determine the outcome of transverse preputial island flap urethroplasty for hypospadias in children. Study design Descriptive study. Place & Duration of study Department of Pediatric Surgery Bolan Medical Complex Hospital Quetta, from March 2005 to July 2010. Methodology Patients up to 13 years of age who were operated for hypospadias by transverse preputial island flap method were included. Hypospadias was categorized as distal penile, mid penile and penoscrotal types. Post-operative results were noted on proforma. Results Total number of patients was 94. Early postoperative complications noted were: urethro-cutaneous fistula in 19 patients (20%), meatal stenosis in 9 (9.5%), glandular dehiscence in 2 (2%), and complete disruption of urethral tube in 3 patients (3%). Urethral stricture at follow up noted in 4 patients (4.2%). Complications were more in more proximal type of hypospadias particularly in those with severe chordee. All cases of urethral stricture and meatal stenosis responded well to regular urethral dilatation. Conclusions Transverse preputial island flap urethroplasty is technically challenging and associated with significant number of complications.

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