Onlay Island Flap Urethroplasty A Preliminary Report of 25 Cases
作者
Chih-Chang Lou, Jer-Nan Lin
卷期/出版年月
30卷1期 (1997/2)
頁次
6-9
摘要
The onlay island flap urethroplasty was originally described for repair of anterior hypospadias. However, many cases of mid and proximal hypo-spadias have a well developed urethral plate and exhibit no chordee after release of skin tethering. Patients with this combination of findings are ideal candidates for onlay island flap urethroplasty, regardless of initial meatal position. During the last two years, the onlay island flap has been used for repair of primary hypospadias in 25 patients (41% of our total cases). Because of the better healing of the onlay flap to a spongiosum-supported urethral plate, this alternative in technique has resulted in fewer complication compared to other standard techniques. Operative complications were fistulae in two patients (8%), disruption of glanulopla-sty in two (8%) and hematoma in one (4%).