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International Urology and Nephrology
Published in: International Urology and Nephrology 4/2011

01-12-2011 | Urology – Original Paper

Comparison of dartos flap and dartos flap plus spongioplasty to prevent the formation of fistulae in the snodgrass technique

Authors: Salim Bilici, Tamer Sekmenli, Mustafa Gunes, Ilhan Gecit, Vedat Bakan, Daghan Isik

Published in: International Urology and Nephrology | Issue 4/2011

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Abstract

Objective

The aim of our study was to evaluate the role of paraurethral spongial tissue plus dartos flap using an additional urethral cover to prevent fistula formation in patients who underwent surgery with the Snodgrass technique.

Patients and methods

A retrospective study was performed on 161 patients aged 10 months to 15 years who underwent midpenile and distal hypospadias repair using the Snodgrass technique. The patients were assigned to one of two groups. In Group I (75 patients), the neourethra was covered with the dartos flap, and in Group II (86 patients), the neourethra was covered with the dartos flap plus spongioplasty.

Results

Urethral fistulae were encountered in six cases (8%) in Group I, and no fistulae were encountered in Group II.

Conclusion

The use of corpus spongiosum as an intermediate layer in urethral coverage, combined with the dartos flap, reduces the likelihood of fistula formation. This procedure can be applied easily and effectively to prevent the formation of fistulae.
Literature
1.
Snodgrass W (1994) Tubularized, incised plate urethroplasty for distal hypospadias. J Urol 151:464–465PubMed
2.
Snodgrass W, Lorenzo A (2002) Tubularized incised-plate urethroplasty for hypospadias reoperation. BJU Int 89:98–100PubMedCrossRef
3.
Snodgrass WT (2002) Tubularized incised plate (TIP) hypospadias repair. Urol Clin North Am 29:285–290PubMedCrossRef
4.
El-Kassaby AW, Al-Kandari AM, Elzayat T et al (2008) Modified tubularized incised plate urethroplasty for hypospadias repair. A long-term results of 764 patients. Urology 71:611–615PubMedCrossRef
5.
Snodgrass WT, Nguyen MT (2002) Current technique of tubularized incised plate hypospadias repair. Urology 60:157–162PubMedCrossRef
6.
Kamal BA (2005) Double dartos flaps in tubularized incised plate hypospadias repair. Urology 66:1095–1098PubMedCrossRef
7.
Bakan V, Yildiz A (2007) Dorsal double-layer dartos flap for preventing fistulae formation in the Snodgrass technique. Urol Int 78:241–244PubMedCrossRef
8.
9.
Cheng EY, Vemulapalli SN, Kropp BP et al (2002) Snodgrass hypospadias repair with vascularized dartos flap: the perfect repair for virgin cases of hypospadias? J Urol 168:1723–1726PubMedCrossRef
10.
Djordjevic ML, Perovic SV, Vukadinovic VM (2005) Dorsal dartos flap for preventing fistula in the Snodgrass hypospadias repair. BJU Int 95:1303–1309PubMedCrossRef
11.
Savanelli A, Esposito C, Settimi A (2007) A prospective randomized comparative study on the use of ventral subcutaneous flap to prevent fistulas in the Snodgrass repair for distal hypospadias. World J Urol 25:641–645PubMedCrossRef
12.
Borer JG, Bauer SB, Peters CA et al (2001) Tubularized incised plate urethroplasty: expanded use in primary and repeat surgery for hypospadias. J Urol 165:581–585PubMedCrossRef
13.
Al-Hunayan AA, Kehinde EO, Elsalam MA et al (2003) Tubularized incised plate urethroplasty: modification and outcome. Int Urol Nephrol 35:47–52PubMedCrossRef
14.
Baccala AA Jr, Ross J, Detore N et al (2005) Modified tubularized incised plate urethroplasty (Snodgrass) procedure for hypospadias repair. Urology 66:1305–1306PubMedCrossRef
15.
Snodgrass WT, Bush N, Cost N (2010) Tubularized incised plate hypospadias repair for distal hypospadias. J Pediatr Urol 6:408–413PubMedCrossRef
16.
Sozubir S, Snodgrass W (2003) A new algorithm for primary hypospadias repair based on tip urethroplasty. J Pediatr Surg 38:1157–1161PubMedCrossRef
17.
Almodhen F, Alzahrani A, Jednak R et al (2008) Nonstented tubularized incised plate urethroplasty with Y-to-I spongioplasty in non-toilet trained children. Can Urol Assoc J 2:110–114PubMed
18.
Yerkes EB, Adams MC, Miller DA et al (2000) Y-to-I wrap: use of the distal spongiosum for hypospadias repair. J Urol 163:1536–1538PubMedCrossRef
19.
Beaudoin S, Delaage PH, Bargy F (2000) Anatomical basis of surgical repair of hypospadias by spongioplasty. Surg Radiol Anat 22:1339–1341CrossRef
20.
21.
Kass EJ, Chung AK (2000) Glanuloplasty and in situ tubularization of the urethral plate: long-term followup. J Urol 164:991–993PubMedCrossRef
22.
Mezzine S, Beaudoin S, Bargy F (2005) Medium and long-term evaluation of spongioplasty in hypospadias repair. Prog Urol 15:519–523PubMed
23.
Dodat H, Landry JL, Szwarc C et al (2003) Spongioplasty and separation of the corpora cavernosa for hypospadias repair. BJU Int 91:528–531PubMedCrossRef
24.
El-Sherbiny MT, Hafez AT, Dawaba MS et al (2004) Comprehensive analysis of tubularized incised-plate urethroplasty in primary and re-operative hypospadias. BJU Int 93:1057–1061PubMedCrossRef
25.
Sarhan OM, El-Hefnawy AS, Hafez AT et al (2009) Factors affecting outcome of tubularized incised plate (TIP) urethroplasty: single-center experience with 500 cases. J Pediatr Urol 5:378–382PubMedCrossRef
Metadata
Title
Comparison of dartos flap and dartos flap plus spongioplasty to prevent the formation of fistulae in the snodgrass technique
Authors
Salim Bilici
Tamer Sekmenli
Mustafa Gunes
Ilhan Gecit
Vedat Bakan
Daghan Isik
Publication date
01-12-2011
Publisher
Springer Netherlands
Published in
International Urology and Nephrology / Issue 4/2011
Print ISSN: 0301-1623
Electronic ISSN: 1573-2584
DOI
https://doi.org/10.1007/s11255-011-9943-8

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