Dartos flap coverage of the neourethra following repair for primary hypospadias, reoperative hypospadias and urethrocutaneous fistulas. It is a safe approach

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dc.authorid0000-0001-5608-5742
dc.contributor.authorÖztürk, Hayrettin
dc.date.accessioned2021-06-23T19:27:08Z
dc.date.available2021-06-23T19:27:08Z
dc.date.issued2010
dc.departmentBAİBÜ, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.description.abstractPurpose: Urethrocutaneous fistula and neourethral dehiscence are frequently seen complications of hypospadias surgery requiring reoperation. In this study we report the experience of one surgeon with dartos flap coverage in primary hypospadias, reoperative hypospadias and urethrocutaneous fistulas repair. Methods: A total of 23 patients underwent hypospadias and urethrocutaneous fistulas repair from January 2006 to May 2009. Fourteen patients were operated on for primary hypospadias repair at our institution and 9 patients were admitted for hypospadias complications such as failed hypospadias repair and urethrocutaneous fistula. In all the patients, the dartos flap was dissected and transposed to cover the neourethra. Operative results were recorded. Results: The primary surgical procedure was a one-stage repair in 61% (n = 14); tubularised incised plate (TIP) urethroplasty in 43% (n = 6) and a Mathieu procedure in 57% (n = 8). Urethrocutaneous fistulas complicating the previous initial hypospadias repair were anterior in 33% (n = 2), middle in 33% (n = 2) and proximal in 33% (n = 2). Repair of the fistula was successful on the first attempt in all patients. The reason for redo surgery in 3 patients was complete dehiscence and the patients had distal shaft hypospadias. Conclusion: Dartos flap coverage of the neourethra seems to be an effective method of reducing the fistulous complication rate following primary and secondary hypospadias repair.en_US
dc.identifier.doi10.1590/S0102-86502010000200012
dc.identifier.endpage193en_US
dc.identifier.issn0102-8650
dc.identifier.issn1678-2674
dc.identifier.issue2en_US
dc.identifier.pmid20305887en_US
dc.identifier.scopus2-s2.0-77950588310en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage190en_US
dc.identifier.urihttps://doi.org/10.1590/S0102-86502010000200012
dc.identifier.urihttps://hdl.handle.net/20.500.12491/6743
dc.identifier.volume25en_US
dc.identifier.wosWOS:000275827400012en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorÖztürk, Hayrettin
dc.language.isoenen_US
dc.publisherActa Cirurgica Brasileiraen_US
dc.relation.ispartofActa Cirurgica Brasileiraen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectHypospadiasen_US
dc.subjectFistulaen_US
dc.subjectSurgical Flapsen_US
dc.subjectScrotumen_US
dc.titleDartos flap coverage of the neourethra following repair for primary hypospadias, reoperative hypospadias and urethrocutaneous fistulas. It is a safe approachen_US
dc.typeArticleen_US

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